Organization Active NPI

Ivy Creek-Butler Home Health LLC

Doing business as Butler Home Health

  • Home Health Agency
  • Georgiana, AL
National Provider Identifier
1871156539
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IVY CREEK-BUTLER HOME HEALTH LLC
Doing business as
Butler Home Health
Practice address
435 S.Meeting Ave
Georgiana, AL 36033-3603
Phone
(334) 376-2286
Fax
(334) 376-3661
NPI assigned
Apr 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Michael D Bruce, OWNER
Title
Ceo
Phone
(334) 567-4311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

435 S.Meeting Ave
Georgiana, AL 36033-3603

Mailing address

PO Box 548
Georgiana, AL 36033-0548
Phone (334) 376-2286

Other names 1

  • BUTLER HOME HEALTH Doing business as

Care Compare: Home health agency

Medicare Care Compare
Listed as
Butler - Ivy Creek Home Health, LLCCCN 017136
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Sep 26, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1871156539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "GEORGIANA",
            "state": "AL",
            "postal_code": "360330548",
            "telephone_number": "334-376-2286",
            "fax_number": "334-376-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S.MEETING AVE",
            "city": "GEORGIANA",
            "state": "AL",
            "postal_code": "360333603",
            "telephone_number": "334-376-2286",
            "fax_number": "334-376-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY CREEK-BUTLER HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-567-4311",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUTLER HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgiana, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.