Active NPI
Sacred Heart Health System, Inc.
- Durable Medical Equipment & Medical Supplies
- Mobile, AL
National Provider Identifier
1841343340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2006-004168
- Legal business name
- SACRED HEART HEALTH SYSTEM, INC.
- Practice address
- 6701 Airport Blvd
Suite 143
Mobile, AL 36608-6705 - Phone
- (850) 470-9288
- Fax
- (850) 470-9130
- NPI assigned
- Jan 19, 2007
- 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
- Mrs. Constance Hetterich, R.N.
- Title
- Administrator
- Phone
- (850) 470-9288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2006-004168 | AL | Primary |
Addresses
Primary practice location
6701 Airport Blvd
Suite 143
Mobile, AL 36608-6705
Mailing address
6701 Airport Blvd
Suite 143
Mobile, AL 36608-6705
Phone (850) 470-9288
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51503539 | Other | FL | BCBS AL - DME |
| 02078367 | Medicaid | MS | |
| 8200162 | Other | FL | UNITED HEALTH CARE |
Other names 1
- Sacred Heart Home Care
National Provider Directory
National Provider Directory- Tax ID family
- Sacred Heart Medical Oncology Group
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841343340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD",
"address_2": "SUITE 143",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086705",
"telephone_number": "850-470-9288",
"fax_number": "850-470-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD",
"address_2": "SUITE 143",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086705",
"telephone_number": "850-470-9288",
"fax_number": "850-470-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED HEART HEALTH SYSTEM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HETTERICH",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "850-470-9288",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "2006-004168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL - DME",
"identifier": "51503539",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02078367",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "8200162",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sacred Heart Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.