NPIMap

Organization Active NPI

Special Professional H/C Services

  • In Home Supportive Care Agency
  • Birmingham, AL
National Provider Identifier
1578950192
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15004490 Issued in AL
Legal business name
SPECIAL PROFESSIONAL H/C SERVICES
Practice address
2214 3Rd Ave N
102
Birmingham, AL 35203-3822
Phone
(205) 538-7074
Fax
(205) 538-5755
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rebbecca Davis Gothwright
Title
Administrator/Ceo
Phone
(205) 535-7074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15004490 AL Primary

Addresses

Primary practice location

2214 3Rd Ave N
102
Birmingham, AL 35203-3822

Mailing address

2214 3Rd Avenue North
102
Birmingham, AL 35203-3829
Phone (205) 538-7074

National Provider Directory

National Provider Directory
Tax ID family
Special Professional HC Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2214 3rd Ave N
Ste 102
Birmingham, AL 35203
Phone (205) 538-7074

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1578950192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 3RD AVENUE NORTH",
            "address_2": "102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033829",
            "telephone_number": "205-538-7074",
            "fax_number": "205-538-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 3RD AVE N",
            "address_2": "102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033822",
            "telephone_number": "205-538-7074",
            "fax_number": "205-538-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL PROFESSIONAL H/C SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "GOTHWRIGHT",
        "authorized_official_first_name": "REBBECCA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "205-535-7074",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": "15004490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.