SUPPORTIVE LIVING LLC (NPI# 1013484161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013484161 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE LIVING LLC |
| Practice Address |
117 Oak Terrace Ln Harvest AL 35749-1202 |
| Practice Telephone | 2564001553 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | SHAKENDRIA BROWN (OWNER) |
| Authorized Official Telephone | 2564001553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Supportive Living Home Care | Doing Business As Name - Organization |
| Street Address |
117 OAK TERRACE LN |
| City | HARVEST |
| State | AL |
| Zip Code | 35749-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860211 | Shakendria Brown | Homemaker | 117 Oak Terrace Ln, Harvest, AL 35749-1202 | 2018-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831565043 | David Grandison | Internal Medicine | 429 Quarter Mountain Rd, Harvest, AL 35749 | 2015-08-12 |
| 1447661525 | Charles Donovan Hooper | Nurse Practitioner | 28779 Nick Davis Rd., Limestone Correctional Facility, Harvest, AL 35749 | 2014-05-12 |
| 1598038598 | Kelli Thomas Cobb | Nurse Practitioner | 119 Trailing Vine, Harvest, AL 35749 | 2012-02-22 |
| 1346435534 | William Douglas Hobbs | General Practice | 28779 Nick Davis Road, Harvest, AL 35749 | 2007-09-11 |
| 1659564748 | Shraddha Shrestha | Pediatrics | 29869 Capshaw Road, Harvest, AL 35749 | 2007-08-22 |
| 1023102381 | Michael Kane Taylor | Family Medicine | 15024 E Limestone Rd, Ste F, Harvest, AL 35749 | 2006-10-03 |
| 1083078596 | Primary Care Pediatrics and Family Medicine, P.c | Family Medicine | 29869 Capshaw Road, Harvest, AL 35749 | 2016-04-11 |
| 1447413364 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 5850 Highway 53, Harvest, AL 35749-4301 | 2008-07-10 |
| 1376924092 | William Keith Yates | Pharmacist | 5850 Highway 53, Harvest, AL 35749-4301 | 2015-06-18 |
| 1336575141 | Patrick Thomas Keefe Jr. | Chiropractor | 5850 Highway 53, Suite N, Harvest, AL 35749-4301 | 2013-09-25 |
| Find all providers in zip 35749 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032940 | With Grace Home Health LLC | In Home Supportive Care | 160 Stone Park Blvd Apt 1210, Pike Road, AL 36064-2982 | 2020-10-30 |
| 1588263271 | Gwendolyn Lee | In Home Supportive Care | 3560 Stoney Brook Dr, Fultondale, AL 35068-2254 | 2020-10-22 |
| 1598363160 | Mobile In Home Care | In Home Supportive Care | 3929 Airport Blvd # 1, Mobile, AL 36609-1987 | 2020-10-15 |
| 1003425992 | Elite All-care Services LLC | In Home Supportive Care | 2311 Market Pl Sw Ste B, Huntsville, AL 35801-5260 | 2020-07-27 |
| 1255955589 | Alabama's Best In-home Care | In Home Supportive Care | 1038 Dunsmore Dr, Chelsea, AL 35043-7234 | 2020-06-02 |
| 1447871611 | Homecare Companions, LLC | In Home Supportive Care | 22394 Miflin Rd Ste 201, Foley, AL 36535-9593 | 2020-04-29 |
| 1093350241 | Keshiakares LLC | In Home Supportive Care | 1302 6th Pl S Apt B2, Phenix City, AL 36869-7855 | 2019-11-12 |
| 1093357774 | Three Sons Home Care LLC | In Home Supportive Care | 324 Commons Dr Ste 6, Birmingham, AL 35209-6962 | 2019-10-14 |
| 1407406390 | Anchored8 Home Care LLC | In Home Supportive Care | 545 W Main St Ste 100, Dothan, AL 36301-1626 | 2019-09-12 |
| 1831747443 | As Close As Family of Northwest Alabama | In Home Supportive Care | 944 Ronnie Mcdowell Ave Ste A, Russellville, AL 35654-6513 | 2019-08-27 |
| 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.