Provider Demographics
NPI:1164825915
Name:HCRC, INC - HOME HEALTH
Entity Type:Organization
Organization Name:HCRC, INC - HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MT(ASPC) SR CRA
Authorized Official - Phone:205-910-5665
Mailing Address - Street 1:12094 OLDE SOUTH LN
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-2331
Mailing Address - Country:US
Mailing Address - Phone:205-910-3242
Mailing Address - Fax:205-477-4584
Practice Address - Street 1:12094 OLDE SOUTH LN
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-2331
Practice Address - Country:US
Practice Address - Phone:205-910-3242
Practice Address - Fax:205-477-4584
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUGHES CLINICAL RESEARCH CONSULTING, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service