Organization Active NPI

State of Alabama Department of Public Health

  • Home Health Agency
  • Moulton, AL
National Provider Identifier
1649350208
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Practice address
13299 Al Highway 157
Moulton, AL 35650-3706
Phone
(256) 974-7076
Fax
(256) 974-7073
NPI assigned
Oct 17, 2006
Organization subpart
Yes
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Grover T Wedgeworth
Title
State Home Care Director
Phone
(334) 206-5341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13299 Al Highway 157
Moulton, AL 35650-3706

Mailing address

201 Monroe St
The Rsa Tower, Suite 1200
Montgomery, AL 36104-3735
Phone (334) 206-5341

Other names 1

  • Lawrence County Home Care Doing business as

National Provider Directory

National Provider Directory
Part of
St Clair County Health Dept-Ashville AIDS

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1649350208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST",
            "address_2": "THE RSA TOWER, SUITE 1200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735",
            "telephone_number": "334-206-5341",
            "fax_number": "334-206-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13299 AL HIGHWAY 157",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356503706",
            "telephone_number": "256-974-7076",
            "fax_number": "256-974-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "WEDGEWORTH",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "STATE HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "334-206-5341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence County Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.