NPIMap

Organization Active NPI

Staff Medical Service Home Health, Inc

  • In Home Supportive Care Agency
  • Anniston, AL
National Provider Identifier
1609157254
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STAFF MEDICAL SERVICE HOME HEALTH, INC
Practice address
1200 Noble St
Suite101
Anniston, AL 36201-4659
Phone
(256) 405-4022
Fax
(256) 365-2060
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Ruby Stockdale
Title
President of Board of Directors
Phone
(256) 405-4022

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 3943 AL
In Home Supportive Care Agency 253Z00000X Primary
Adult Day Care Clinic/Center 261QA0600X AL
Child Physical Disabilities Respite Care 385HR2065X AL

Addresses

Primary practice location

1200 Noble St
Suite101
Anniston, AL 36201-4659

Mailing address

1200 Noble St
Suite101
Anniston, AL 36201-4659
Phone (256) 405-4022

Other identifiers 1

IdentifierTypeStateIssuer
04111912OtherALMEDICAID WAVER

National Provider Directory

National Provider Directory
Tax ID family
Staff Medical Service Home Health Inc2 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

1200 Noble St
Ste 101
Anniston, AL 36201
Phone (256) 405-4022

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609157254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NOBLE ST",
            "address_2": "SUITE101",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014659",
            "telephone_number": "256-405-4022",
            "fax_number": "256-365-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NOBLE ST",
            "address_2": "SUITE101",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014659",
            "telephone_number": "256-405-4022",
            "fax_number": "256-365-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFF MEDICAL SERVICE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STOCKDALE",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "256-405-4022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "AL",
            "license": "3943",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAVER",
            "identifier": "04111912",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.