Provider Demographics
NPI:1457578114
Name:TECHOTA, LLC
Entity Type:Organization
Organization Name:TECHOTA, LLC
Other - Org Name:CV HOME HEALTH OF BIBB COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFADDIN-MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-365-4424
Mailing Address - Street 1:142 PIERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35042-2950
Mailing Address - Country:US
Mailing Address - Phone:205-926-3211
Mailing Address - Fax:205-572-4627
Practice Address - Street 1:155 BIRMINGHAM RD STE 123
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042-2949
Practice Address - Country:US
Practice Address - Phone:205-926-3211
Practice Address - Fax:205-572-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL017082Medicare Oscar/Certification