Ivy Creek Home Health Of Elmore

LBN: Ivy Creek Of Elmore, Llc
Ivy Creek Home Health Of Elmore is an health care organization with primary practice located at 500 Hospital Drive , Wetumpka AL 36092-1625. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Ivy Creek Of Elmore, Llc can be contacted via phone (334) 567-7710, or through Bryan, Kathrine Kay via phone (334) 567-7710.

Contact Information

Primary practice address
500 Hospital Drive Wetumpka AL 36092-1625
Phone: (334) 567-7710
Fax: (334) 567-3227
Website:
Map and Directions
Authorized official contact:
Name: Bryan, Kathrine Kay Licensed Practical Nurse (LPN)
Phone: (334) 567-7710

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 11797 Alabama

Profile Details

NPI number 1255533642
LBN Legal business name Ivy Creek Of Elmore, Llc
DBA Doing business as Ivy Creek Home Health Of Elmore
Authorized official Bryan, Kathrine Kay Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2007
Last updated Mar 18th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255533642 NPPES
Alabama MEDICAID ELM7116A

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