NPIMap

Organization Active NPI

State of Alabma Department of Public Health

Doing business as Etowah County Home Care

  • Home Health Agency
  • Gadsden, AL
National Provider Identifier
1588098420
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STATE OF ALABMA DEPARTMENT OF PUBLIC HEALTH
Doing business as
Etowah County Home Care
Practice address
709 E Broad St
Gadsden, AL 35903-2452
Phone
(256) 547-5012
Fax
(256) 543-0067
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Grover T Wedgeworth
Title
State Home Care Director
Phone
(334) 206-5341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

709 E Broad St
Gadsden, AL 35903-2452

Mailing address

201 Monroe St
The Rsa Tower, Suite 1200
Montgomery, AL 36104-3735
Phone (334) 206-5341

Other names 1

  • Etowah County Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Escambia County Health Dept-Brewton Mat1,340 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

201 Monroe St
Ste 1200
Montgomery, AL 36104
Phone (334) 206-5341

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1588098420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST",
            "address_2": "THE RSA TOWER, SUITE 1200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735",
            "telephone_number": "334-206-5341",
            "fax_number": "334-206-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E BROAD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032452",
            "telephone_number": "256-547-5012",
            "fax_number": "256-543-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "WEDGEWORTH",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "STATE HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "334-206-5341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Etowah County Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.