Provider Demographics
NPI:1417562620
Name:PRIVATE FAMILY CAREGIVING & IN HOME CARE
Entity Type:Organization
Organization Name:PRIVATE FAMILY CAREGIVING & IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCHRONDA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:MCCORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-566-1357
Mailing Address - Street 1:1400 PIEDMONT CUTOFF APT D121
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-2839
Mailing Address - Country:US
Mailing Address - Phone:205-566-1357
Mailing Address - Fax:256-438-5398
Practice Address - Street 1:1400 PIEDMONT CUTOFF APT D121
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-2839
Practice Address - Country:US
Practice Address - Phone:205-566-1357
Practice Address - Fax:256-438-5398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0128OtherHOME HEALTH