Provider Demographics
NPI:1710597034
Name:WESTGARDEN CARE'S OF ALABAMA LLC
Entity Type:Organization
Organization Name:WESTGARDEN CARE'S OF ALABAMA LLC
Other - Org Name:WEST GARDEN CARE'S OF ALABAMA, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-374-8324
Mailing Address - Street 1:1401 DOUG BAKER BLVD STE 107486
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4974
Mailing Address - Country:US
Mailing Address - Phone:205-374-8324
Mailing Address - Fax:205-922-5422
Practice Address - Street 1:1401 DOUG BAKER BLVD STE 107486
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242-4974
Practice Address - Country:US
Practice Address - Phone:205-374-8324
Practice Address - Fax:205-922-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-01
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty