MIZELL MEMORIAL HOSPITAL HOMECARE, LLC


Address: 1802 Us Highway 84 W, Suite A, Opp, AL 36467-3520
Phone: 3344932087

MIZELL MEMORIAL HOSPITAL HOMECARE, LLC (NPI# 1033293352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033293352
Entity Type Organization
Organization Name MIZELL MEMORIAL HOSPITAL HOMECARE, LLC
Other Organization Name LHC HOMECARE OF SOUTH ALABAMA
Practice Address 1802 Us Highway 84 W
Suite A
Opp
AL 36467-3520
Mailing Address Po Box 51266
Lafayette
LA 70505-1266
Practice Telephone 3344932087
Practice Fax Number 3344937285
Mailing Telephone 3372331307
Mailing Fax Number 3372335764
Enumeration Date 2006-10-24
Last Update Date 2016-05-20
Authorized Official Name DONALD D. STELLY (PRESIDENT)
Authorized Official Telephone 3372331307
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS BLUE SHIELD OF 515-41052 01
AL LHC 7134A 05

Other Provider/Organization Names

Other Name Type Code
LHC HomeCare of South Alabama Doing Business As Name - Organization

Office Location

Street Address 1802 US HIGHWAY 84 W
SUITE A
City OPP
State AL
Zip Code 36467-3520

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1912327099 George Lawrence Arnett Hearing Instrument Specialist 2123 Highway 84 West, Opp, AL 36467 2014-04-16
1811313042 Quality Hearing Center LLC Hearing Instrument Specialist 2123 Hwy 84 W., Opp, AL 36467 2014-03-12
1346372505 Jeffrey Harold Worley Dentist 403 N Brantley St, Opp, AL 36467 2007-03-12
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1770616989 Joshua Driver PC Optometrist 604 N Main St Ste A, Opp, AL 36467-1600 2007-03-14
1932653722 Andrew Scott Carter Optometrist 604 N Main St, Opp, AL 36467-1600 2016-08-09
1972679033 Joshua Jonathan Driver Optometrist 604 N Main St, Suite A, Opp, AL 36467-1600 2006-11-28
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013518216 Acaf of East Alabama, LLC Home Health 2056 Cherokee Road, Alexander City, AL 35010 2020-11-04
1578163143 Leisha Jenkins Henry Home Health 6722 Van Buren St # Condo3, Daphne, AL 36526-7584 2020-10-31
1235738477 Kimberly Barnes Home Health 10612 Harcourt Trce, Montgomery, AL 36117-6073 2020-10-19
1366058596 Heart Warming Angels Homecare LLC Home Health 1716 Patterson St Nw, Huntsville, AL 35816-1628 2020-09-22
1801402318 Merida Care LLC Home Health 3943 Richard Arrington Jr Blvd N, Birmingham, AL 35234-2453 2020-09-20
1851906036 Loving Care Home Health LLC Home Health 1715 7th Ave N, Bessemer, AL 35020-4856 2020-09-14
1679186001 Silvannia Waters Home Health 1909 Montgomery Hwy Ste 310, Dothan, AL 36303-3299 2020-08-25
1740891910 Jessica Celeste Ealey Home Health 271 Watson Bridge Rd, Kinsey, AL 36303-7629 2020-08-12
1932718236 Linda Beck Home Health 3205 Lloyds Ln Apt F5, Mobile, AL 36693-3817 2020-07-23
1669090809 Takita Green Home Health 323 Olympia Dr, Homewood, AL 35209-3743 2020-07-13
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City OPP
Zip Code 36467

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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