Provider Demographics
NPI:1275322331
Name:EFFECTUAL HOME CARE, LLC
Entity type:Organization
Organization Name:EFFECTUAL HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-577-1658
Mailing Address - Street 1:104 HOMEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-2329
Mailing Address - Country:US
Mailing Address - Phone:251-577-1658
Mailing Address - Fax:
Practice Address - Street 1:104 HOMEWOOD CT
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-2329
Practice Address - Country:US
Practice Address - Phone:251-577-1658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care