NPIMap

Organization Active NPI

Statewide Healthcare Services, Inc

Doing business as Oxford Healthcare

  • Home Health Agency
  • Montgomery, AL
National Provider Identifier
1831617703
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STATEWIDE HEALTHCARE SERVICES, INC
Doing business as
Oxford Healthcare
Practice address
6767 Taylor Cir
Montgomery, AL 36117-3417
Phone
(334) 409-0035
Fax
(334) 409-0064
NPI assigned
Aug 31, 2017
Last updated
Aug 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Mr. Larry J Jensen
Title
Vice President, Operations
Phone
(312) 795-4683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6767 Taylor Cir
Montgomery, AL 36117-3417

Mailing address

1 N State St Ste 800
Chicago, IL 60602-3312
Phone (800) 404-3191

Other names 1

  • Oxford Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oxford Healthcare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1831617703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N STATE ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023312",
            "telephone_number": "800-404-3191",
            "fax_number": "312-704-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 TAYLOR CIR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173417",
            "telephone_number": "334-409-0035",
            "fax_number": "334-409-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT, OPERATIONS",
        "authorized_official_telephone_number": "312-795-4683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 31, 2017; 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.