FAYETTE MEDICAL CENTER HOME HEALTH (NPI# 1871679993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871679993 |
| Entity Type | Organization |
| Organization Name | FAYETTE MEDICAL CENTER HOME HEALTH |
| Practice Address |
411 Fayette Sq Fayette AL 35555-1723 |
| Mailing Address |
Po Box 710 1653 Temple Avenue North Fayette AL 35555-0710 |
| Practice Telephone | 2059325961 |
| Practice Fax Number | 2059328054 |
| Mailing Telephone | 2059325961 |
| Mailing Fax Number | 2059328054 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. BARRY COCHRAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2059325966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 510-42430 | 01 |
| AL | FAY7088A | 05 | |
| AL | BLUE CROSS | 010-772 | 01 |
| Street Address |
411 FAYETTE SQ |
| City | FAYETTE |
| State | AL |
| Zip Code | 35555-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639253867 | Fayette Medical Center Dme | Durable Medical Equipment & Medical Supplies | 411 Fayette Sq, Fayette, AL 35555-1723 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
| 1942703020 | The Language Lab | Clinic/Center | 111 Columbus Street East, Fayette, AL 35555 | 2018-03-14 |
| 1407292709 | Lana Langley | Speech-Language Pathologist | 111 Columbus St E, Fayette, AL 35555 | 2013-05-14 |
| 1992096275 | Wendy Dawn Benton | Nurse Practitioner | 122 17th Court Ne, Fayette, AL 35555 | 2011-04-21 |
| 1699004929 | Patricia Lorraine Montgomery | Counselor | 123 2nd Avenue, Nw, Fayette, AL 35555 | 2009-12-16 |
| 1184826398 | Charles Thomas Webster | Pharmacist | 1116 2nd Ave Ne, Fayette Square Shopping Center, Fayette, AL 35555 | 2007-06-01 |
| 1114060381 | Fayette County Health Dept Adult Immun | Public Health or Welfare | 211 First Street, N.w., Fayette, AL 35555 | 2007-02-15 |
| 1356433064 | Dana Suzette Norris | Nurse Practitioner | 1653 Temple Ave N Ste 1, Fayette, AL 35555 | 2006-09-29 |
| 1992788871 | Air Evac Ems Inc | Ambulance | 108 21st St Ne, Fayette, AL 35555 | 2005-11-23 |
| 1255656112 | Debbie Kilgore Yerby | Pharmacist | 1716 Temple Avenue North, Fayette, AL 35555 | 2010-04-05 |
| Find all providers in zip 35555 | ||||
| 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 |
|---|---|---|---|---|
| 1821241613 | Fayette Medical Center Homecare, LLC | Home Health | 102 2nd Ave Se, Fayette, AL 35555-2717 | 2008-10-24 |
| 1841372976 | Southwest Development Corporation, Inc. | Home Health | 210 Gilchrist Street, Fayette, MS 39069-0699 | 2006-10-19 |
| 1861496531 | Howard County Home Health and Hospice | Home Health | 101 Furr Street, Fayette, MO 65248-1069 | 2005-06-09 |
| 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.