Provider Demographics
NPI:1265741557
Name:A CARING PLACE
Entity type:Organization
Organization Name:A CARING PLACE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-351-1090
Mailing Address - Street 1:432 MOULTON STREET, E
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-1309
Mailing Address - Country:US
Mailing Address - Phone:256-351-1090
Mailing Address - Fax:256-308-0803
Practice Address - Street 1:432 MOULTON STREET, E
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601
Practice Address - Country:US
Practice Address - Phone:256-351-1090
Practice Address - Fax:256-308-0803
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A CARING PLACE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-066247251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health