Organization Active NPI

Marylilhomecareandgirlsclub

  • Home Health Aide
  • Montgomery, AL
National Provider Identifier
1750075529
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MARYLILHOMECAREANDGIRLSCLUB
Practice address
1041 Perry Hill Rd
Montgomery, AL 36109-4500
Phone
(334) 922-9489
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Ms. Jacqueline Marrietta Jackson-JamesNPI 1801480140
Title
Owner
Phone
(334) 922-9489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1041 Perry Hill Rd
Montgomery, AL 36109-4500

Mailing address

2932 Brevard Ave
Montgomery, AL 36109-2135
Phone (973) 220-2875

National Provider Directory

National Provider Directory

Locations

1041 Perry Hill Rd
Montgomery, AL 36109
Phone (334) 922-9489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1750075529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 BREVARD AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092135",
            "telephone_number": "973-220-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 PERRY HILL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361094500",
            "telephone_number": "334-922-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLILHOMECAREANDGIRLSCLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON-JAMES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARRIETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-922-9489",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.