Active NPI
Professional Wound Care Services of Alabama Inc.
- Wound Care Registered Nurse
- Rainbow City, AL
National Provider Identifier
1891485181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- PROFESSIONAL WOUND CARE SERVICES OF ALABAMA INC.
- Practice address
- 3804 Rainbow Dr
Rainbow City, AL 35906-3051 - Phone
- (205) 338-6655
- Fax
- (205) 338-6658
- NPI assigned
- May 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Means
- Title
- Compliance Officer
- Phone
- (205) 338-6655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary |
Addresses
Primary practice location
3804 Rainbow Dr
Rainbow City, AL 35906-3051
Mailing address
2804 Dr John Haynes Dr
Pell City, AL 35125-1438
Phone (205) 338-6655
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1891485181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 DR JOHN HAYNES DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251438",
"telephone_number": "205-338-6655",
"fax_number": "205-338-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 RAINBOW DR",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359063051",
"telephone_number": "205-338-6655",
"fax_number": "205-338-6658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL WOUND CARE SERVICES OF ALABAMA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "MEANS",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "205-338-6655"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rainbow City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.