Provider Demographics
NPI:1972195568
Name:IN HOME CAREGIVING OF ALABAMA LLC
Entity Type:Organization
Organization Name:IN HOME CAREGIVING OF ALABAMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SCYWANDA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-564-3342
Mailing Address - Street 1:2100 SOUTHBRIDGE PKWY
Mailing Address - Street 2:SUITE 650
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-564-3342
Mailing Address - Fax:205-588-5949
Practice Address - Street 1:2100 SOUTHBRIDGE PKWY
Practice Address - Street 2:SUITE 650
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-564-3342
Practice Address - Fax:205-588-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty