Active NPI
Gulf Homecare, Inc.
- Home Health Agency
- Jackson, AL
National Provider Identifier
1982642286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- N/A
- Legal business name
- GULF HOMECARE, INC.
- Practice address
- 800 College Ave
Jackson, AL 36545-2533 - Phone
- (251) 262-6477
- Fax
- (251) 247-1080
- NPI assigned
- Jun 2, 2006
- 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
- Mr. Joshua L Proffitt
- Title
- Treasurer
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | N/A | Primary |
Addresses
Primary practice location
800 College Ave
Jackson, AL 36545-2533
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| INF7130A | Medicaid | AL |
Other names 1
- Infirmary HomeCare
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
800 College Ave
Jackson, AL 36545
Phone (251) 262-6477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606780800000",
"number": "1982642286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 COLLEGE AVE",
"city": "JACKSON",
"state": "AL",
"postal_code": "365452533",
"telephone_number": "251-262-6477",
"fax_number": "251-247-1080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF HOMECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "337-233-1307",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "INF7130A",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Infirmary HomeCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Infirmary HomeCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.