Active NPI
Premier Independent Care of Tuscaloosa
- In Home Supportive Care Agency
- Dothan, AL
National Provider Identifier
1770496556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PREMIER INDEPENDENT CARE OF TUSCALOOSA
- Practice address
- 212 W Troy St Ste B
Dothan, AL 36303-4455 - Phone
- (659) 258-2423
- NPI assigned
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rennotta Wiggins
- Title
- Owner
- Phone
- (205) 886-4933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
212 W Troy St Ste B
Dothan, AL 36303-4455
Mailing address
212 W Troy St Ste B
Dothan, AL 36303-4455
Phone (659) 258-2423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1770496556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W TROY ST STE B",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363034455",
"telephone_number": "659-258-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W TROY ST STE B",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363034455",
"telephone_number": "659-258-2423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER INDEPENDENT CARE OF TUSCALOOSA",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "WIGGINS",
"authorized_official_first_name": "RENNOTTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-886-4933"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.