Active NPI
Homeward Health Care, LLC
- Assisted Living Facility
- Birmingham, AL
National Provider Identifier
1861871071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 27555
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27555 | Other | AL | MEDICAL LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Montgomery, AL
- NPI 1184737397
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.