Baldwin County Transitional Care LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BALDWIN COUNTY TRANSITIONAL CARE LLC

Practice address

77 Magnolia Ave
Fairhope, AL 36532-2540

Phone

(251) 300-0025

Fax

(855) 292-8226

NPI assigned

Oct 12, 2017

Reactivated

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Sabrina Reeves, PA-C

Title

Co-Owner

Phone

(251) 300-0025

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1962913350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365330587",
            "telephone_number": "251-300-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAGNOLIA AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322540",
            "telephone_number": "251-300-0025",
            "fax_number": "855-292-8226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18557 E Hammond St",
            "address_purpose": "LOCATION",
            "city": "Robertsdale",
            "state": "AL",
            "postal_code": "365673629",
            "country_code": "US",
            "telephone_number": "251-947-3591",
            "fax_number": "251-947-3593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALDWIN COUNTY TRANSITIONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2019-09-12",
        "deactivation_date": "2018-08-23",
        "reactivation_date": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "251-300-0025",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA1092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AL",
            "identifier": "51205740",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fairhope, AL
• Medical Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.