BALDWIN COUNTY TRANSITIONAL CARE LLC (NPI# 1962913350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962913350 |
| Entity Type | Organization |
| Organization Name | BALDWIN COUNTY TRANSITIONAL CARE LLC |
| Practice Address |
77 Magnolia Ave Fairhope AL 36532-2540 |
| Mailing Address |
Po Box 587 Fairhope AL 36533-0587 |
| Practice Telephone | 2513000025 |
| Practice Fax Number | 8552928226 |
| Mailing Telephone | 2513000025 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2019-09-12 |
| NPI Deactivation Date | 08/23/2018 |
| NPI Reactivation Date | 2018-09-11 |
| Authorized Official Name | SABRINA REEVES (CO-OWNER) |
| Authorized Official Telephone | 2513000025 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1092 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS-AL | 51205740 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18557 E Hammond St, Robertsdale, AL 365673629 | 2519473591 | 2519473593 |
| 353 S School St, Fairhope, AL 365321739 | 2513000025 |
| Street Address |
77 MAGNOLIA AVE |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| 1790106607 | Monica Carmen Chiang | Internal Medicine | 300 South Greeno Road, Suite B, Fairhope, AL 36532 | 2013-12-18 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106621 | Fairhope Gastroenterology, LLC | Clinic/Center | 3 Medical Park, Fairhope, AL 36532-1804 | 2019-10-22 |
| 1245443761 | Gynecology and Infertility Associates, PC | Clinic/Center | 25 Spring Run Rd, Fairhope, AL 36532-1925 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430109 | Alamed Neurology, Inc | Clinic/Center | 7070 Aaron Aronov Dr Ste K, Fairfield, AL 35064-1809 | 2020-06-04 |
| 1922629898 | Snatchednspirit LLC | Clinic/Center | 3993 Cottage Hill Rd Apt 19c3993, Mobile, AL 36609-8418 | 2020-05-02 |
| 1508403031 | Veyep | Clinic/Center | 2100 Devereux Cir Ste 201, Vestavia, AL 35243-2562 | 2019-12-03 |
| 1215591243 | Alamed Injury Clinics | Clinic/Center | 7070 Aaron Aronov Dr Ste M, Fairfield, AL 35064-1809 | 2019-04-25 |
| 1114581147 | Alamed Surgical Centers | Clinic/Center | 7070 Aaron Aronov Dr Ste O, Fairfield, AL 35064-1809 | 2019-04-25 |
| 1215428529 | Ob-gyn Associates of Anniston LLC | Clinic/Center | 901 Leighton Ave Ste 102, Anniston, AL 36207-5703 | 2018-05-22 |
| 1154833689 | Monica Handy Crawford, Md, LLC | Clinic/Center | 801 Noble St Ste 1022, Anniston, AL 36201-5698 | 2017-10-24 |
| 1538619465 | Intrinsic Balance Chiropractic and Health Services | Clinic/Center | 3760 Highway 53, Ste L, Huntsville, AL 35806-4726 | 2016-10-04 |
| 1942668397 | Jerry Dillard Md | Clinic/Center | 206 W Dallas Ave, Selma, AL 36701-6531 | 2016-01-31 |
| 1346660487 | Dr Doctor Disc Injury and Spinal Care Clinic PC | Clinic/Center | 1117 7th Ave W, Birmingham, AL 35204-3408 | 2014-04-16 |
| Find all providers with the same taxonomy | ||||
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| 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.