Crenshaw County Health Care Authority

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRENSHAW COUNTY HEALTH CARE AUTHORITY

Practice address

101 Hospital Cir
Luverne, AL 36049-7329

Phone

(334) 335-1209

Fax

(334) 335-1208

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Michael Andrew Kimbro

Title

Chairman

Phone

(334) 335-3374

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Hospital Home Health Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Crenshaw County Health Care Authority

  • Psychiatric Hospital Unit
  • Luverne, AL
  • NPI 1154515591

  Member Of

  NPD member

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1851487656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL CIR",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360497329",
            "telephone_number": "334-335-1209",
            "fax_number": "334-335-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL CIR",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360497329",
            "telephone_number": "334-335-1209",
            "fax_number": "334-335-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENSHAW COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "KIMBRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "334-335-3374"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THE7140A",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "515-14885",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hospital Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matt Colley Jr., R.PH.
• Crenshaw County
• Crenshaw County Health Care Authority
• Crenshaw County Health Care Authority
• Crenshaw County Health Care Authority
• Crenshaw County Health Dept Adult Immun
• Crenshaw County Health Dept AIDS
• Crenshaw County Health Dept Child
• Crenshaw County Health Dept Epsdt
• Crenshaw County Health Dept Epsdt CM

• Home Health Agency in Luverne, AL
• Providers in Luverne, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.