Organization Active NPI

Homeward Health Care, LLC

  • Assisted Living Facility
  • Birmingham, AL
National Provider Identifier
1861871071
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
27555 Issued in AL
Legal business name
HOMEWARD HEALTH CARE, LLC
Practice address
5501 Scoutcreek Drive
Birmingham, AL 35244
Phone
(334) 322-1730
Fax
(205) 747-0519
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Mr. Clement E Ebio
Title
Billing Manager
Phone
(205) 563-0307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 27555 AL Primary

Addresses

Primary practice location

5501 Scoutcreek Drive
Birmingham, AL 35244

Mailing address

5501 Scoutcreek Drive
Birmingham, AL 35244
Phone (334) 322-1730

Other identifiers 1

IdentifierTypeStateIssuer
27555OtherALMEDICAL LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151005002701 AL Part B Supplier - Clinic/Group Practice 6002124401 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL; Irondale, AL; Eight Mile, AL; Hoover, AL; Elba, AL; Birmingham, AL

National Provider Directory

National Provider Directory

Locations

7020 Bruns Dr
Mobile, AL 36695
Phone (251) 639-1588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1861871071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 SCOUTCREEK DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "334-322-1730",
            "fax_number": "205-747-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 SCOUTCREEK DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "334-322-1730",
            "fax_number": "205-747-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWARD HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "EBIO",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "205-563-0307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AL",
            "license": "27555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "27555",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.