Active NPI
Otha Foster III
- Respite Care
- Livingston, AL
National Provider Identifier
1598175424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 009196897
- Practice address
- 4 Meadows Apt
Livingston, AL 35470 - Phone
- (985) 241-1875
- NPI assigned
- Apr 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 009196897 | LA | Primary |
Addresses
Primary practice location
4 Meadows Apt
Livingston, AL 35470
Mailing address
4 Meadows Apt
Livingston, AL 35470
Phone (985) 241-1875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009196897 | LA | MD | Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Gentle Care LLC | Respite Care | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Angie, LA
- NPI 1538701727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1598175424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MEADOWS APT",
"city": "LIVINGSTON",
"state": "AL",
"postal_code": "35470",
"telephone_number": "985-241-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEADOWS APT",
"city": "LIVINGSTON",
"state": "AL",
"postal_code": "35470",
"telephone_number": "985-241-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "OTHA",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "LA",
"license": "009196897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.