FC OF ALABAMA INC (NPI# 1275515850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275515850 |
| Entity Type | Organization |
| Organization Name | FC OF ALABAMA INC |
| Other Organization Name | INTREPID USA HEALTHCARE SERVICES |
| Practice Address |
445 Dexter Ave Ste 4050 Montgomery AL 36104-3867 |
| Mailing Address |
3220 Keller Springs Rd Ste 108 Carrollton TX 75006-5911 |
| Practice Telephone | 3342707913 |
| Practice Fax Number | 3342700668 |
| Mailing Telephone | 2144453750 |
| Mailing Fax Number | 2144453900 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | PAUL M MCMULLEN (COO) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Intrepid USA Healthcare Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629051735 | Fc of Alabama Inc | Home Health | 2700 Corporate Dr Ste 200, Birmingham, AL 35242-2733 | 2005-11-22 |
| Street Address |
445 DEXTER AVE STE 4050 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36104-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128286 | Let's Talk, LLC | Community/Behavioral Health | 445 Dexter Ave Ste 4050, Montgomery, AL 36104-3867 | 2020-09-14 |
| 1982259180 | Sacred Soul Wellness LLC | Massage Therapist | 445 Dexter Ave Ste 4050, Montgomery, AL 36104-3867 | 2019-08-05 |
| 1154894467 | Bml Transportation Services LLC | Non-emergency Medical Transport (VAN) | 445 Dexter Ave Ste 4050, Montgomery, AL 36104-3867 | 2019-01-09 |
| 1184177651 | Cleve Carter IIi | Physical Therapist | 445 Dexter Ave Ste 4050, Montgomery, AL 36104-3867 | 2016-08-01 |
| 1083031512 | Thomas James Hardy Jr. | Non-emergency Medical Transport (VAN) | 445 Dexter Ave Ste 4050, Montgomery, AL 36104-3867 | 2014-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597707 | Henley Counseling LLC | Counselor | 445 Dexter Avenue, Suite 4050, Montgomery, AL 36104 | 2020-01-16 |
| 1164994489 | Cornwall Transportation LLC | Non-emergency Medical Transport (VAN) | 2 N Jackston St #605, Montgomery, AL 36104 | 2018-12-27 |
| 1093237661 | Dianna Delane Havard | Speech-Language Pathologist | 602 South Lawrence Street, Montgomery, AL 36104 | 2017-07-14 |
| 1992149884 | Marshall Eye Care | Optometrist | 241 N Court St Apt H, Montgomery, AL 36104 | 2013-04-22 |
| 1689923237 | Beryl Sabb | Counselor | 321 North Hull Street, Montgomery, AL 36104 | 2012-08-29 |
| 1033478318 | William Foster | Social Worker | 207 Montgomery Street, Suite 313, Montgomery, AL 36104 | 2012-05-08 |
| 1972877363 | William Alex Ward | Driver | 906 South Perry Street, Suite 103, Montgomery, AL 36104 | 2012-03-02 |
| 1356669915 | Seib Pharmacy | Pharmacy | 101 South Union Street, Montgomery, AL 36104 | 2010-05-06 |
| 1376797282 | Joseph Anthony Mangini | Family Medicine | 300 S Hull St, Montgomery, AL 36104 | 2008-11-05 |
| 1154572840 | State of Alabama Department of Public Health | Public Health or Welfare | 201 Monroe Street, Suite 1080, Montgomery, AL 36104 | 2008-10-01 |
| Find all providers in zip 36104 | ||||
| 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 |
|---|---|---|---|---|
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1902424963 | Deborah Mason | Home Health | 7274 Forest Hills Dr, Montgomery, TX 77316-3888 | 2020-07-07 |
| 1407491673 | Keith Jackson | Home Health | 2934 Pelzer Ave, Montgomery, AL 36109-2147 | 2019-11-12 |
| 1831617703 | Statewide Healthcare Services, Inc | Home Health | 6767 Taylor Cir, Montgomery, AL 36117-3417 | 2017-08-31 |
| 1790212439 | Harvey & Phelps, LLC | Home Health | 2294 State Route 208, Suite 5, Montgomery, NY 12549-2217 | 2017-05-12 |
| 1659819316 | Care Help Homecare | Home Health | 3086 Woodley Rd, Suite D, Montgomery, AL 36116-3149 | 2017-02-02 |
| 1457707143 | Essential Home Care | Home Health | 2837 E South Blvd Unit 20213, Montgomery, AL 36120-3010 | 2016-05-11 |
| 1619331121 | The Rose Assisted Living Center | Home Health | 10814 Twin Circles Dr, Montgomery, TX 77356-4734 | 2016-04-11 |
| 1346611472 | Magnolia Home Care Services Inc. | Home Health | 2400 Geneva Ln, Montgomery, IL 60538-5047 | 2015-10-15 |
| 1922410497 | Capitol City Home Health and Rehab | Home Health | 8202 Old Federal Rd Ste A, Montgomery, AL 36117-8030 | 2014-06-02 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36104 |
Please comment or provide details below to improve the information on FC OF ALABAMA INC.
| 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.