Provider Demographics
NPI:1609917707
Name:LAMAR HOME CARE, INC.
Entity Type:Organization
Organization Name:LAMAR HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-695-6736
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:131 1ST AVENUE NW, SUITE B
Mailing Address - City:VERNON
Mailing Address - State:AL
Mailing Address - Zip Code:35592-0547
Mailing Address - Country:US
Mailing Address - Phone:205-695-6736
Mailing Address - Fax:205-695-6764
Practice Address - Street 1:131 1ST AVE. NW
Practice Address - Street 2:SUITE B
Practice Address - City:VERNON
Practice Address - State:AL
Practice Address - Zip Code:35592
Practice Address - Country:US
Practice Address - Phone:205-695-6736
Practice Address - Fax:205-695-6764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01000725OtherBLUE CROSS BLUE SHIELD ID
ALLAM7079Medicaid
AL01000725OtherBLUE CROSS BLUE SHIELD ID