Organization Active NPI

Alpha Medical AIDS, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Charlottesville, VA
National Provider Identifier
1881675247
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPHA MEDICAL AIDS, INC.
Practice address
3506 Seminole Trail
Route 29
Charlottesville, VA 22911-8665
Phone
(434) 971-7300
Fax
(434) 971-3739
NPI assigned
Nov 10, 2005
Last updated
Oct 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Mr. Ebben C. Deaton
Title
President/ Owner
Phone
(434) 971-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3506 Seminole Trail
Route 29
Charlottesville, VA 22911-8665

Mailing address

3506 Seminole Trail
Route 29
Charlottesville, VA 22911-8665
Phone (434) 971-7300

Other identifiers 6

IdentifierTypeStateIssuer
322965OtherVAANTHEM BCBS MEDIGAP #
123764OtherVASOUTHERN HEALTH PROVIDER
009133054MedicaidVA
051686OtherVAANTHEM BCBS PROVIDER #
224574OtherVASOUTHERN HEALTH
009132597MedicaidVA

Other names 1

  • Alpha Medical Contin-U-Care Other name

National Provider Directory

National Provider Directory

Locations

3506 Seminole Trl
Charlottesville, VA 22911
Phone (434) 971-7300

3506 Seminole Trl
#29
Charlottesville, VA 22911
Phone (434) 971-7300

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1881675247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 SEMINOLE TRAIL",
            "address_2": "ROUTE 29",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118665",
            "telephone_number": "434-971-7300",
            "fax_number": "434-710-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 SEMINOLE TRAIL",
            "address_2": "ROUTE 29",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118665",
            "telephone_number": "434-971-7300",
            "fax_number": "434-971-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL AIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "EBBEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "434-971-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS MEDIGAP #",
            "identifier": "322965",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH PROVIDER",
            "identifier": "123764",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009133054",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER #",
            "identifier": "051686",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "224574",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009132597",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Medical Contin-U-Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.