Provider Demographics
NPI:1255008009
Name:ABIDING HEARTS HOME CARE, INC.
Entity Type:Organization
Organization Name:ABIDING HEARTS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,MSN
Authorized Official - Phone:205-732-4471
Mailing Address - Street 1:4915 CALDWELL MILL LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4507
Mailing Address - Country:US
Mailing Address - Phone:205-790-2433
Mailing Address - Fax:205-790-2433
Practice Address - Street 1:4915 CALDWELL MILL LANE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242
Practice Address - Country:US
Practice Address - Phone:205-790-2433
Practice Address - Fax:205-905-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty