Provider Demographics
NPI:1649257114
Name:EASTERN VALLEY HOME HEALTH & EQUIPMENT
Entity type:Organization
Organization Name:EASTERN VALLEY HOME HEALTH & EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-425-9800
Mailing Address - Street 1:1308 EASTERN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-8609
Mailing Address - Country:US
Mailing Address - Phone:205-425-9800
Mailing Address - Fax:205-425-5354
Practice Address - Street 1:1308 EASTERN VALLEY RD
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-8609
Practice Address - Country:US
Practice Address - Phone:205-425-9800
Practice Address - Fax:205-425-5354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL370055937332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51506437OtherBLUE CROSS BLUE SHIELD
AL009993900Medicaid
AL009993900Medicaid