State of Alabama Department of Public Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Practice address

2841 Neal Metcalf Rd
Enterprise, AL 36330-8003

Phone

(334) 347-9576

Fax

(334) 347-3124

NPI assigned

Oct 17, 2006

Organization subpart

Yes

Parent organization

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

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

Authorized official

Name

Grover T Wedgeworth

Title

State Home Care Director

Phone

(334) 206-5341

Specialties & licenses 1

Addresses

Other names 1

• Coffee County Home Care Doing business as

Part of

St Clair County Health Dept-Ashville AIDS

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1922188697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST",
            "address_2": "THE RSA TOWER, SUITE 1200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735",
            "telephone_number": "334-206-5341",
            "fax_number": "334-206-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 NEAL METCALF RD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308003",
            "telephone_number": "334-347-9576",
            "fax_number": "334-347-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "WEDGEWORTH",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "STATE HOME CARE DIRECTOR",
        "authorized_official_telephone_number": "334-206-5341"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coffee County Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Channing Jamal Starks
• State of Alabama
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• State of Alabama Department of Public Health
• Joseph Carter Steinwinder Sr., R.PH.
• Stephen R Brandt MD Group
• George Robert Storey Jr., LPC
• Jamie Marie Stotler, BCABA
• Kimberly Stotler, BCBA

• All providers in Enterprise, AL
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.