Provider Demographics
NPI:1578932265
Name:ALWAYS THERE PEDIATRIC HOMECARE, LLC
Entity Type:Organization
Organization Name:ALWAYS THERE PEDIATRIC HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-824-0224
Mailing Address - Street 1:3021 LORNA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4587
Mailing Address - Country:US
Mailing Address - Phone:205-824-0224
Mailing Address - Fax:
Practice Address - Street 1:3021 LORNA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4587
Practice Address - Country:US
Practice Address - Phone:205-824-0224
Practice Address - Fax:205-824-8877
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALWAYS THERE IN-HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-23
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL07464OtherBCBS OF ALABAMA
AL172266Medicaid
AL173380Medicaid