Provider Demographics
NPI:1265466478
Name:ALBANY HOME PATIENT CARE
Entity Type:Organization
Organization Name:ALBANY HOME PATIENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CULPEPPER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:229-435-6211
Mailing Address - Street 1:800 1/2 S SLAPPEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-2616
Mailing Address - Country:US
Mailing Address - Phone:229-435-6211
Mailing Address - Fax:229-435-8331
Practice Address - Street 1:800 1/2 S SLAPPEY BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-2616
Practice Address - Country:US
Practice Address - Phone:229-435-6211
Practice Address - Fax:229-435-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0134220001Medicare NSC