State of Alabama Department of Public Health

Organization Active NPI Home Health Agency · Decatur, AL

NPI 1699853804 · NPPES record last updated Jul 27, 2007

Key facts

NPI
1699853804
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Practice address
201 Gordon Dr SE
Suite 107
Decatur, AL 35601-2540
Phone
(256) 306-2400
Fax
(256) 353-6410
NPI assigned
Nov 2, 2006
Organization subpart
Yes
Parent organization (as reported)
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
St Clair County Health Dept-Ashville AIDS (1,340 organizations share this tax ID)
Part of
St Clair County Health Dept-Ashville AIDS

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

201 Gordon Dr SE
Suite 107
Decatur, AL 35601-2540

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
MOR7873AMedicaidAL

Other names

  • Morgan County Home Care Doing business as

Other providers in Decatur, AL

All providers in Decatur, AL · Home Health Agency in Alabama

Sources for this page

Verify at the official NPI Registry.