Healthsource of Huntsville, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2227 Issued in AL

Legal business name

HEALTHSOURCE OF HUNTSVILLE, LLC

Practice address

930 Bob Wallace Ave SW Ste 225
Huntsville, AL 35801-5644

Phone

(256) 964-6678

Fax

(256) 964-6660

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sarah S Jacobs, D.C.NPI 1417146143

Title

Managing Member

Phone

(256) 929-3918

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Strother Jacobs, D.C.

  • Chiropractor
  • Harvest, AL
  • NPI 1417146143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1609209253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BOB WALLACE AVE SW STE 225",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015644",
            "telephone_number": "256-964-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BOB WALLACE AVE SW STE 225",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015644",
            "telephone_number": "256-964-6678",
            "fax_number": "256-964-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF HUNTSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2022-11-03",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "256-929-3918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1417146143",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthcare Authority of the City of Huntsville
• Healthgroup of Alabama
• Healthgroup of Alabama, LLC
• Healthplus Chiropractic, Inc.
• Healthsource Huntsville-the Rocket City LLC
• Healthsource of Providence LLC
• Healthy Smiles PC
• Brooke A Healy, CRNA
• Hearing & Speech Clinic of Huntsville, Inc.
• Hearing & Speech Clinic of Huntsville, Inc.

• Preferred Provider Organization in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Preferred Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.