Dekalb Baptist Medical Center Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DEKALB BAPTIST MEDICAL CENTER HOME HEALTH

Practice address

13280 County Road 51
Collinsville, AL 35961-4174

Phone

(256) 524-2411

Fax

(256) 524-2415

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Cristina Bruno

Title

Clinical Manager

Phone

(256) 524-2411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861484404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 COUNTY ROAD 51",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359614174",
            "telephone_number": "256-524-2411",
            "fax_number": "256-524-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 COUNTY ROAD 51",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359614174",
            "telephone_number": "256-524-2411",
            "fax_number": "256-524-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB BAPTIST MEDICAL CENTER HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "256-524-2411"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Co Co, Inc.
• Collinsville Express Drugs LLC
• Collinsville Nursing Home, Inc
• Fort Payne Clinic Corp
• Fort Payne RHC Corp
• Pamela Gibson, CRNP
• Misty Sharp Ingram, CRNP
• Sunil K Jaiswal, MD

• Home Health Agency in Collinsville, AL
• Providers in Collinsville, 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 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.

Verify at the official NPI Registry.