NPIMap

Organization Active NPI

Pickens County Health Care Authority

Doing business as Medical Center Home Health

  • Home Health Agency
  • Carrollton, AL
National Provider Identifier
1871847418
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PICKENS COUNTY HEALTH CARE AUTHORITY
Doing business as
Medical Center Home Health
Practice address
241 Robert K. Wilson Drive
Carrollton, AL 35447
Phone
(205) 367-8111
NPI assigned
Nov 5, 2012
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Sharon D. Hamlin, R.N.
Title
Assistant Administrator Operations
Phone
(205) 367-2442

Specialties & licenses 1

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

Addresses

Primary practice location

241 Robert K. Wilson Drive
Carrollton, AL 35447

Mailing address

P.O. Box 147
241 Robert K. Wilson Drive
Carrollton, AL 35447
Phone (205) 367-8111

Other identifiers 1

IdentifierTypeStateIssuer
MED7092AMedicaidAL

Other names 1

  • Medical Center Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2017 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 017092, AL, NPI 1689191405

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1871847418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 147",
            "address_2": "241 ROBERT K. WILSON DRIVE",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "35447",
            "telephone_number": "205-367-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 ROBERT K. WILSON DRIVE",
            "city": "CARROLLTON",
            "state": "AL",
            "postal_code": "35447",
            "telephone_number": "205-367-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR OPERATIONS",
        "authorized_official_telephone_number": "205-367-2442",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MED7092A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, AL

Sources for this page

Verify at the official NPI Registry.