PROVIDENCE HOME MEDICAL SERVICES, LLC (NPI# 1982030193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982030193 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOME MEDICAL SERVICES, LLC |
| Practice Address |
6701 Airport Blvd. Ste. B-121 Mobile AL 36608-6705 |
| Mailing Address |
406 Medical Center Dr. Jasper AL 35501-3400 |
| Practice Telephone | 2516337491 |
| Practice Fax Number | 2516337492 |
| Mailing Telephone | 2052218200 |
| Mailing Fax Number | 2052218270 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | LISA J. WELLS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2052218258 |
| Authorized Official Credential | CPCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 163809 | 05 |
| Street Address |
6701 AIRPORT BLVD. STE. B-121 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981959 | Jessica Leigh Fuqua | Nurse Practitioner | 6701 Airport Blvd., 'b' Bldg., 't' Level, Mobile, AL 36608 | 2020-08-03 |
| 1104471978 | Stephanie Ann Fouts | Nurse Practitioner | 6701 Airport Blvd., B Bldg., T Level, Mobile, AL 36608-3764 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396055125 | Zurcare 007, LLC | Durable Medical Equipment & Medical Supplies | 3725 Airport Blvd, Ste 100h, Mobile, AL 36608-1633 | 2010-10-14 |
| 1073719589 | Team Adaptive, Inc. | Durable Medical Equipment & Medical Supplies | 1251 Boltons Branch Drive, Mobile, AL 36606 | 2007-06-22 |
| 1457401713 | Gulf Coast Supply LLC | Durable Medical Equipment & Medical Supplies | 110 Zeigler Circle East, Mobile, AL 36608 | 2007-01-11 |
| 1477638211 | Cpap Solutions, Inc | Durable Medical Equipment & Medical Supplies | 7214 Cottage Hill Rd, Mobile, AL 36695-2825 | 2006-10-26 |
| 1356434906 | Coastal Therapeutics | Durable Medical Equipment & Medical Supplies | 869 Hillcrest Rd, Mobile, AL 36695-3909 | 2006-10-02 |
| 1720195746 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4970 Rangeline Rd, Mobile, AL 36619-9508 | 2006-08-24 |
| 1831134675 | Kmed Inc | Durable Medical Equipment & Medical Supplies | 10121 Airport Blvd, Suite 1, Mobile, AL 36608-9502 | 2006-06-17 |
| 1154386613 | Rhodes Medical, LLC | Durable Medical Equipment & Medical Supplies | 3202 Dauphin St, Mobile, AL 36606-4001 | 2006-04-19 |
| 1619032521 | Rhodes Medical | Durable Medical Equipment & Medical Supplies | 3202 Dauphin St, Mobile, AL 36606-4001 | 2006-12-22 |
| 1013965953 | Carl & Associates | Durable Medical Equipment & Medical Supplies | 7856 Westside Park Dr, Suite C, Mobile, AL 36695-8541 | 2006-05-04 |
| Find all providers in MOBILE | ||||
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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.