Organization Active NPI

Senior Care of Alabama, L.L.C.

  • In Home Supportive Care Agency
  • Phenix City, AL
National Provider Identifier
1720378672
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SENIOR CARE OF ALABAMA, L.L.C.
Practice address
1604 Broad St Ste C
Phenix City, AL 36867-5129
Phone
(334) 297-2211
Fax
(334) 297-2210
NPI assigned
Apr 12, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Ms. Della Upshaw
Title
President/Owner
Phone
(334) 297-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1604 Broad St Ste C
Phenix City, AL 36867-5129

Mailing address

1604 Broad St Ste C
Phenix City, AL 36867-5129
Phone (334) 297-2211

National Provider Directory

National Provider Directory

Locations

1604 Broad St
Ste C
Phenix City, AL 36867
Phone (334) 297-2211

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1720378672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 BROAD ST STE C",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675129",
            "telephone_number": "334-297-2211",
            "fax_number": "334-297-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BROAD ST STE C",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675129",
            "telephone_number": "334-297-2211",
            "fax_number": "334-297-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE OF ALABAMA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "DELLA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "334-297-2211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.