BRAXTON SENIOR CARE (NPI# 1215454517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215454517 |
| Entity Type | Organization |
| Organization Name | BRAXTON SENIOR CARE |
| Practice Address |
307 South Cherry Avenue Demopolis AL 36732 |
| Mailing Address |
307 S Cherry Ave Demopolis AL 36732-2351 |
| Practice Telephone | (334) 289-2421 |
| Mailing Telephone | 3342892421 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Authorized Official Name | ANNYE BRAXTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3342892421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | AL | Nursing Service Related Providers |
| Street Address |
307 SOUTH CHERRY AVENUE |
| City | DEMOPOLIS |
| State | AL |
| Zip Code | 36732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336196 | Preferred Eye Care LLC | Optometrist | 931 Highway 80 West, Suite A, Demopolis, AL 36732 | 2019-09-26 |
| 1699206060 | Jamie Lynn Tucker | Pharmacist | 1107 Lillian Lane, Demopolis, AL 36732 | 2017-03-27 |
| 1578717021 | Sheila Bouler Pfaffman | Counselor | 409 North Walnut Avenue, Demopolis, AL 36732 | 2008-11-11 |
| 1609072537 | Southeast Cancer Network, Inc | Internal Medicine | 105 Highway 80 E., Demopolis, AL 36732 | 2007-06-26 |
| 1720102387 | Drs. Ketcham and Dismukes | Durable Medical Equipment & Medical Supplies | 202 Hwy 80 E, Demopolis, AL 36732 | 2007-03-19 |
| 1942356472 | Dana Eddins | Speech-Language Pathologist | 1400 Herbert St, Demopolis, AL 36732 | 2007-01-26 |
| 1083785182 | Mary Juanita Shakes | Social Worker | 205 Herbert Street, Demopolis, AL 36732 | 2006-11-11 |
| 1114006848 | Rural Health Medical Program, Inc | Clinic/Center | 1502 Highway 80 East, Unit A, Demopolis, AL 36732 | 2006-11-03 |
| 1518051788 | Judy Cooke Travis | Emergency Medicine | 123 East Capitol Street, Demopolis, AL 36732 | 2006-10-03 |
| 1770686412 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 312 Hwy 80 East, Demopolis, AL 36732 | 2006-09-07 |
| Find all providers in zip 36732 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765777 | Ebam Services | Day Training/Habilitation Specialist | 3106 Fieldcrest Dr, Montgomery, AL 36106-3333 | 2020-03-17 |
| 1043824113 | Perfect Imperfections Behavioral Health Services LLC | Day Training/Habilitation Specialist | 1829 Princeton Ct Sw, Birmingham, AL 35211-2430 | 2020-09-04 |
| 1255944856 | Lashunda Smith-pope | Day Training/Habilitation Specialist | 4111 Avenue L, Birmingham, AL 35208-1807 | 2020-08-25 |
Please comment or provide details below to improve the information on BRAXTON SENIOR CARE.
| 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.