Provider Demographics
NPI:1144224015
Name:ALACARE HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ALACARE HOME HEALTH SERVICES, INC
Other - Org Name:ALACARE HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA/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:205-981-8170
Practice Address - Street 1:1201 MONTLIMAR DR
Practice Address - Street 2:SUITE 700
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1704
Practice Address - Country:US
Practice Address - Phone:251-341-0707
Practice Address - Fax:251-341-4263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALACARE HOME HEALTH SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-09
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-38795OtherBCBS (MOBILE)
ALALA7155AMedicaid
AL515-38795OtherBCBS (MOBILE)