MEDICARE: THE CARE GROUP HOME HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		AL

General Provider Information

NPI Number	:	1205184298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CARE GROUP HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	4227 DOLLY RIDGE RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5703
Country	:	US
Telephone Number	:	205-259-6398
Fax Number	:

Provider Business Practice Location Address
First Line	:	4227 DOLLY RIDGE RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5703
Country	:	US
Telephone Number	:	205-259-6398
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. TAMARA CARTER
Credential	:
Telephone Number	:	205-259-6398

Provider Enumeration Date	:	08/22/2012
Last Update Date	:	08/22/2012

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