Individual provider Active NPI

Sherry L Marks

  • Home Health Agency
  • Mobile, AL
National Provider Identifier
1891448486
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1111 E I65 Service Rd S Ste C
Mobile, AL 36606-3123
Phone
(251) 479-2299
Fax
(251) 287-0722
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Personal Care Attendant 3747P1801X
Home Health Aide 374U00000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1111 E I65 Service Rd S Ste C
Mobile, AL 36606-3123

Mailing address

1111 E I65 Service Rd S Ste C
Mobile, AL 36606-3123
Phone (251) 479-2299

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcsc@promisecareseniorcare.com Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Care Senior Care LLC Home Health CurrentSince Feb 6, 2022 Accepting new patients

Locations

1111 E I65 Service Rd S
Ste C
Mobile, AL 36606
Phone (251) 479-2299

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1891448486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E I65 SERVICE RD S STE C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063123",
            "telephone_number": "251-479-2299",
            "fax_number": "251-287-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E I65 SERVICE RD S STE C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063123",
            "telephone_number": "251-479-2299",
            "fax_number": "251-287-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "SHERRY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcsc@promisecareseniorcare.com",
            "affiliation": "N",
            "endpointDescription": "PROMISE CARE SENIOR CARE - NON-MEDICAL HOME HEALTHCARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 E. I-65 SERVICE RD. SOUTH STE-C",
            "city": "MOBILE",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366063123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.