STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH


Address: 294 Liberty Lane, Scottsboro, AL 35769
Phone: 2562593694

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH (NPI# 1588742233) 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) 1588742233
Entity Type Organization
Organization Name STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Other Organization Name JACKSON COUNTY HOME CARE
Practice Address 294 Liberty Lane
Scottsboro
AL 35769
Mailing Address 201 Monroe St
The Rsa Tower, Suite 1200
Montgomery
AL 36104-3735
Practice Telephone 2562593694
Practice Fax Number 2565744803
Mailing Telephone 3342065341
Mailing Fax Number 3342065724
Enumeration Date 2006-11-01
Last Update Date 2007-07-27
Authorized Official Name GROVER T WEDGEWORTH (STATE HOME CARE DIRECTOR)
Authorized Official Telephone 3342065341
Is Organization Subpart Y
Parent Organization Name STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

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 BIOMONITORING PROVIDER # JAC9936A 01

Other Provider/Organization Names

Other Name Type Code
Jackson County Home Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376851162 State of Alabama Department of Public Health Nurse Practitioner 15 Hospital Rd., Crenshaw Co. Health Dept, Luverne, AL 36049 2010-09-15
1942517420 State of Alabama Department of Public Health Nurse Practitioner 20 Technology Ct., Martha C. Myers F/p Clinic, Montgomery, AL 36116-3200 2010-09-07
1801103387 State of Alabama Department of Public Health Nurse Practitioner 510 Cherry St. Ne, Decatur, AL 35602-1628 2010-09-07
1831406313 State of Alabama Department of Public Health Nurse Practitioner 301 Max Luther Drive, Huntsville, AL 35811-1724 2010-09-07
1104133693 State of Alabama Department of Public Health Nurse Practitioner 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 2010-09-07
1154572840 State of Alabama Department of Public Health Public Health or Welfare 201 Monroe Street, Suite 1080, Montgomery, AL 36104 2008-10-01
1447326731 State of Alabama Department of Public Health Home Health 4200-a Highway 79, South, Guntersville, AL 35976 2006-11-28
1194894469 State of Alabama Department of Public Health Home Health 110 Thomas St, Athens, AL 35611-2120 2006-11-08
1457420952 State of Alabama Department of Public Health Home Health 709 E Broad St, Gadsden, AL 35903-2452 2006-11-07
1750460523 State of Alabama Department of Public Health Home Health 2024 Granade, Chatom, AL 36518 2006-11-03

Office Location

Street Address 294 LIBERTY LANE
City SCOTTSBORO
State AL
Zip Code 35769

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851463368 State of Alabama Department of Public Health Home Health 294 Liberty Lane, Scottsboro, AL 35769 2006-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831718535 Healthpointe Internal Medicine 24020 John T Reid Pkwy, Scottsboro, AL 35769 2020-04-13
1780192765 Family First Medicine LLC Family Medicine 1601 Veterans Drive, Scottsboro, AL 35769 2018-01-12
1023566205 Allyscripts LLC Pharmacy 201 Lonnie E Crawford Blvd, Suite B, Scottsboro, AL 35769 2016-09-15
1386971257 Jonathan Wallace Gurr Pediatrics 23800 John T. Reid Pkwy, Scottsboro, AL 35769 2009-11-12
1174645923 The Arc of Jackson County Day Training, Developmentally Disabled Services 180 Mack Morris Drive, Scottsboro, AL 35769 2007-04-04
1598319121 Stacy Kennamer Occupational Therapist 157 Brad St, Scottsboro, AL 35769-3419 2019-07-31
1376864132 Laurel Rico Occupational Therapist 692 Ruby Johnson Dr, Scottsboro, AL 35769-3633 2010-06-16
1497848063 Douglass Vance Military Health Care Provider 264 Belle Dr, Scottsboro, AL 35769-3652 2006-10-02
1689067498 Jessica Fairbanks Occupational Therapy Assistant 231 Belle Dr, Scottsboro, AL 35769-3657 2015-03-18
1437576014 Jennifer Sanders Registered Nurse 70 Freedom Ln, Scottsboro, AL 35769-3763 2014-03-21
Find all providers in zip 35769

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 city

NPI Name Taxonomy Address Enumeration
1255411898 State of Alabama Department of Public Health Home Health 204 Liberty Ln, Scottsboro, AL 35769-4133 2006-10-17
1851463368 State of Alabama Department of Public Health Home Health 294 Liberty Lane, Scottsboro, AL 35769 2006-11-14
1306941604 Jackson County Healthcare Authority Home Health 380 Woods Cove Rd, Scottsboro, AL 35768 2006-09-13

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
Find all providers with the same taxonomy

Competitor

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City SCOTTSBORO
Zip Code 35769

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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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