Organization Active NPI

Lamar Home Care, Inc.

  • Home Health Agency
  • Vernon, AL
National Provider Identifier
1609917707
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAMAR HOME CARE, INC.
Practice address
131 1St Ave. NW
Suite B
Vernon, AL 35592
Phone
(205) 695-6736
Fax
(205) 695-6764
NPI assigned
Feb 9, 2007
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Mr. Brandon Crawford
Title
Administrator
Phone
(205) 695-6736

Specialties & licenses 1

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

Addresses

Primary practice location

131 1St Ave. NW
Suite B
Vernon, AL 35592

Mailing address

PO Box 547
131 1St Avenue NW, Suite B
Vernon, AL 35592-0547
Phone (205) 695-6736

Other identifiers 2

IdentifierTypeStateIssuer
LAM7079MedicaidAL
01000725OtherALBLUE CROSS BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

131 1st Ave NW
Ste B
Vernon, AL 35592
Phone (205) 695-6736

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2017 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 017079, AL, NPI 1548787401

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1609917707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "131 1ST AVENUE NW, SUITE B",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355920547",
            "telephone_number": "205-695-6736",
            "fax_number": "205-695-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 1ST AVE. NW",
            "address_2": "SUITE B",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "35592",
            "telephone_number": "205-695-6736",
            "fax_number": "205-695-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-695-6736",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAM7079",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "01000725",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, AL

Sources for this page

Verify at the official NPI Registry.