STATEWIDE HEALTHCARE SERVICES, INC (NPI# 1093233983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093233983 |
| Entity Type | Organization |
| Organization Name | STATEWIDE HEALTHCARE SERVICES, INC |
| Other Organization Name | OXFORD HEALTHCARE |
| Practice Address |
104 Rural St Evergreen AL 36401-2834 |
| Mailing Address |
1 N State St Ste 800 Chicago IL 60602-3312 |
| Practice Telephone | 2515787222 |
| Practice Fax Number | 2515787225 |
| Mailing Telephone | 8004043191 |
| Mailing Fax Number | 3127041126 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | MR. LARRY J JENSEN (VICE PRESIDENT, OPERATIONS) |
| Authorized Official Telephone | 8004043191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Oxford Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182455 | Statewide Healthcare Services, Inc | Home Health | 80 Ali Way, Oxford, AL 36203-1835 | 2017-08-31 |
| 1376061259 | Statewide Healthcare Services, Inc | Home Health | 1060 Bailey Dr, Demopolis, AL 36732-3114 | 2017-08-31 |
| 1326566209 | Statewide Healthcare Services, Inc | Home Health | 304 Regency Ct, Dothan, AL 36305-1175 | 2017-08-31 |
| 1285152157 | Statewide Healthcare Services, Inc | Home Health | 709b Azalea Rd, Mobile, AL 36609-1507 | 2017-08-31 |
| 1255859138 | Statewide Healthcare Services, Inc | Home Health | 327 Decatur Hwy, Gardendale, AL 35071-2956 | 2017-08-31 |
| 1831617703 | Statewide Healthcare Services, Inc | Home Health | 6767 Taylor Cir, Montgomery, AL 36117-3417 | 2017-08-31 |
| 1972021863 | Statewide Healthcare Services, Inc | Home Health | 17495 Al Highway 75, Henagar, AL 35978-5629 | 2017-08-31 |
| 1396263273 | Statewide Healthcare Services, Inc | Home Health | 802 Us Highway 72 W, Athens, AL 35611-4219 | 2017-08-31 |
| 1447778337 | Statewide Healthcare Services, Inc | Home Health | 801 Avalon Ave Ste 210, Muscle Shoals, AL 35661-2339 | 2017-08-31 |
| 1770001653 | Statewide Healthcare Services, Inc | Home Health | 804 Columbus Pkwy Ste 1, Opelika, AL 36801-5938 | 2017-08-31 |
| Street Address |
104 RURAL ST |
| City | EVERGREEN |
| State | AL |
| Zip Code | 36401-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437347572 | Elizabeth L Godwin | Counselor | 101 Perryman Street Hwy 31, Compass Academy, Evergreen, AL 36401 | 2007-10-12 |
| 1679691661 | Floyd Michael Cartwright | Dentist | 122 Court Street, Evergreen, AL 36401 | 2007-03-27 |
| 1467526038 | Evergreen Dental Center | Dentist | 100 Edwina Street, Evergreen, AL 36401 | 2006-11-17 |
| 1134141229 | Michael L Pitts | Physical Therapist | 124 Edwina St, Evergreen, AL 36401 | 2006-07-24 |
| 1275565442 | Mark A Roberts | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-07-07 |
| 1881677581 | Evergreen Medical Center LLC | Registered Nurse | 308 South Main St, Evergreen, AL 36401 | 2005-11-28 |
| 1063918118 | Jessica Roberts Pierce | Nurse Practitioner | 106 Edwina Street, Evergreen, AL 36401 | 2018-04-05 |
| 1962535112 | Douglas Patrick O'connor | Dentist | 104 Hillcrest Dr, Evergreen, AL 36401 | 2007-03-14 |
| 1952466211 | Mark A Roberts Md PC | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-12-27 |
| 1659540086 | State of Alabama | Public Health or Welfare | Highway 83 and I-65, Evergreen, AL 36401-0565 | 2008-02-29 |
| Find all providers in zip 36401 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316027089 | State of Alabama Department of Public Health | Home Health | 811 Liberty Hill Dr, Evergreen, AL 36401-2648 | 2006-10-17 |
| 1134750508 | Live Well Occupational Therapy LLC | Home Health | 30772 Southview Dr Ste 140, Evergreen, CO 80439-2214 | 2020-02-03 |
| 1871996124 | Mount Evans Hospice, Inc. | Home Health | 3081 Bergen Peak Dr, Evergreen, CO 80439-2200 | 2014-10-01 |
| 1033298930 | State of Alabama Department of Public Health | Home Health | 811 Liberty Hill Dr, Evergreen, AL 36401-2648 | 2006-11-03 |
| 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 | ||||
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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.