Organization Active NPI

Northeast Alabama Homecare LLC

  • Family Medicine Physician
  • Dutton, AL
National Provider Identifier
1669136081
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHEAST ALABAMA HOMECARE LLC
Practice address
4171 Al Highway 71
Dutton, AL 35744-8547
Phone
(256) 630-0218
NPI assigned
Oct 22, 2021
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Amanda Law Foshee
Title
Owner
Phone
(256) 833-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4171 Al Highway 71
Dutton, AL 35744-8547

Mailing address

PO Box 252
Dutton, AL 35744-0252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1669136081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "DUTTON",
            "state": "AL",
            "postal_code": "357440252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 AL HIGHWAY 71",
            "city": "DUTTON",
            "state": "AL",
            "postal_code": "357448547",
            "telephone_number": "256-630-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ALABAMA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2023-12-29",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "FOSHEE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-833-9001"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dutton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.