Provider Demographics
NPI:1437813342
Name:MEDHEALTH HOME CARE, LLC
Entity Type:Organization
Organization Name:MEDHEALTH HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:334-229-9955
Mailing Address - Street 1:2908 MCGEHEE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2103
Mailing Address - Country:US
Mailing Address - Phone:334-229-9955
Mailing Address - Fax:334-676-1840
Practice Address - Street 1:2908 MCGEHEE RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2103
Practice Address - Country:US
Practice Address - Phone:334-229-9955
Practice Address - Fax:334-676-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care