Provider Demographics
NPI:1629278288
Name:RESPONSICARE INC.
Entity Type:Organization
Organization Name:RESPONSICARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-355-0555
Mailing Address - Street 1:2424 DANVILLE RD SW
Mailing Address - Street 2:SUITE K
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-4280
Mailing Address - Country:US
Mailing Address - Phone:256-355-0555
Mailing Address - Fax:256-355-0549
Practice Address - Street 1:2424 DANVILLE RD SW
Practice Address - Street 2:SUITE K
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-4280
Practice Address - Country:US
Practice Address - Phone:256-355-0555
Practice Address - Fax:256-355-0549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25897207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5300560001Medicare NSC