Provider Demographics
NPI:1679516298
Name:ALACARE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ALACARE HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:205-981-8581
Mailing Address - Street 1:2400 JOHN HAWKINS PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3500
Mailing Address - Country:US
Mailing Address - Phone:205-981-8400
Mailing Address - Fax:205-981-8743
Practice Address - Street 1:2970 LORNA RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4506
Practice Address - Country:US
Practice Address - Phone:205-979-2619
Practice Address - Fax:205-979-3606
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALACARE HOME HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-13
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11673 (2006)251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPIC1543EMedicaid
AL0011553OtherBCBS HOSPICE PROVIDER NUM
ALPIC1543EMedicaid