NPIMap

Organization Active NPI

Fayette Medical Center Home Health

  • Home Health Agency
  • Fayette, AL
National Provider Identifier
1871679993
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAYETTE MEDICAL CENTER HOME HEALTH
Practice address
411 Fayette SQ
Fayette, AL 35555-1723
Phone
(205) 932-5961
Fax
(205) 932-8054
NPI assigned
Oct 31, 2006
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Keri Henley Hindman
Title
Patient Accounts Director
Phone
(205) 759-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

411 Fayette SQ
Fayette, AL 35555-1723

Mailing address

PO Box 710
1653 Temple Avenue North
Fayette, AL 35555-0710
Phone (205) 932-5961

Other identifiers 3

IdentifierTypeStateIssuer
010-772OtherALBLUE CROSS
510-42430OtherALBLUE CROSS
FAY7088AMedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Fayette Co Hosp-Vernon5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1871679993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "address_2": "1653 TEMPLE AVENUE NORTH",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355550710",
            "telephone_number": "205-932-5961",
            "fax_number": "205-932-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FAYETTE SQ",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551723",
            "telephone_number": "205-932-5961",
            "fax_number": "205-932-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEDICAL CENTER HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "HINDMAN",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "HENLEY",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS DIRECTOR",
        "authorized_official_telephone_number": "205-759-7378"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010-772",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "510-42430",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FAY7088A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.