Organization · Type 2 NPI

State of Alabama Department of Public Health

Home Health Agency · Gadsden, AL

NPI number 1114007713 Active

Practice location

709 East Broad Street
Gadsden, AL 35903

Call (256) 547-5012 Map

Fax (256) 543-0067

Mailing address

201 Monroe St, The Rsa Tower, SUITE1200
Montgomery, AL 36104-3735

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: 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 organ…

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NPI record

NPI: 1114007713
Entity type: Organization (Type 2)
Issued: Oct 17, 2006
Last updated: Sep 13, 2024
Status: Active
Subpart: Yes of State of Alabama Department of Public Health

Other names

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Etowah County Home Care · doing business as

Authorized official

Grover T Wedgeworth
State Home Care Director
(334) 206-5341

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114007713

State of Alabama Department of Public Health's National Provider Identifier is 1114007713, issued on Oct 17, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Gadsden, AL. The record was last updated on Sep 13, 2024.