FORT PAYNE HOME CARE, LLC (NPI# 1790720076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790720076 |
| Entity Type | Organization |
| Organization Name | FORT PAYNE HOME CARE, LLC |
| Other Organization Name | DEKALB REGIONAL HOME HEALTH |
| Practice Address |
1706 Glenn Blvd Sw Ste 3 Fort Payne AL 35968-3544 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 2568442882 |
| Practice Fax Number | 2568446591 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3374434154 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MR. NICHOLAS GACHASSIN III (SECRETARY/TREASURER) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | AL | Agencies | |
| Y | 251E00000X | Home Health | CON1340 | AL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | DEK7093A | 05 |
| Other Name | Type Code |
|---|---|
| DeKalb Regional Home Health | Doing Business As Name - Organization |
| Street Address |
1706 GLENN BLVD SW STE 3 |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35968-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417382623 | Lori Land Camp | Pharmacist | 101 Cracker Barrel Row, Ft Payne, AL 35968 | 2013-09-06 |
| 1841424959 | Ashley Renee Cole | Emergency Medicine | 590 Medical Center Dr, Fort Payne, AL 35968 | 2009-05-05 |
| 1871758938 | Michael Steven Digby | Dermatology | 1403 Old Water Works Rd Sw, Fort Payne, AL 35968 | 2008-07-28 |
| 1356516611 | Robyn Reesman, O.d.,inc. | Optometrist | 2001 Glenn Blvd. Sw, Fort Payne, AL 35968 | 2008-04-28 |
| 1124219902 | Rebecca Burns Ingram | Occupational Therapist | 2804 Greenhill Blvd Nw Ste 102, Fort Payne, AL 35968 | 2007-08-06 |
| 1467657957 | Palmer Orthopaedic & Sports Medicine, PC | Orthopaedic Surgery | 315 Medical Center Dr. Sw, Fort Payne, AL 35968 | 2007-06-15 |
| 1225171309 | Dekalb County Health Dept Offsite Epsdt | Public Health or Welfare | 2401 Calvin Dr, S.w., Ft. Payne, AL 35968 | 2007-02-15 |
| 1376612648 | American Hospice -- Fort Payne | Hospice Care, Community Based | 103 3rd Street North West, Suite 202, Fort Payne, AL 35968 | 2006-11-08 |
| 1316978588 | Bhc-palmer Orthopaedics and Sports Medicine | Specialist | 315 Medical Park, Fort Payne, AL 35968 | 2006-07-06 |
| 1487694782 | Fort Payne Hospital Corporation | Hospitalist | 200 Medical Center Dr., Fort Payne, AL 35968 | 2006-06-07 |
| Find all providers in zip 35968 | ||||
| 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 |
|---|---|---|---|---|
| 1992930663 | Pediatric Health Services of Alabama | Home Health | 512 Alabama Ave Nw, Fort Payne, AL 35967-2330 | 2009-05-23 |
| 1528142676 | State of Alabama Department of Public Health | Home Health | 2401 Calvin Drive,sw, Suite 200, Fort Payne, AL 36967 | 2006-10-25 |
| 1578646048 | State of Alabama Department of Public Health | Home Health | 2401 Calvin Drive, Sw, Suite 200, Fort Payne, AL 36967 | 2006-10-20 |
| 1861413890 | Amedisys Home Health of Alabama, LLC | Home Health | 501 Greenhill Blvd Nw, Suite 150, Fort Payne, AL 35967-8474 | 2006-07-23 |
| 1164501946 | State of Alabama Department of Public Health | Home Health | 2401 Calvin Drive, Sw, Suite 200, Fort Payne, AL 36967 | 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 | ||||
| City | FORT PAYNE |
| Zip Code | 35968 |
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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.