Active NPI
Optimum Home Care of Alabama
- In Home Supportive Care Agency
- Vestavia Hills, AL
National Provider Identifier
1639738941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- OPTIMUM HOME CARE OF ALABAMA
- Practice address
- 2820 Columbiana Rd Ste 210
Vestavia Hills, AL 35216-2565 - Phone
- (704) 775-0905
- NPI assigned
- Jun 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meaghen Green
- Title
- Administrator
- Phone
- (205) 643-4033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2820 Columbiana Rd Ste 210
Vestavia Hills, AL 35216-2565
Mailing address
412 Jerry Coleman St
Fairfield, AL 35064-1937
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560124800000",
"number": "1639738941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 JERRY COLEMAN ST",
"city": "FAIRFIELD",
"state": "AL",
"postal_code": "350641937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 COLUMBIANA RD STE 210",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352162565",
"telephone_number": "704-775-0905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HOME CARE OF ALABAMA",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "MEAGHEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "205-643-4033"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestavia Hills, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.