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NPI Code Detail

MEDICARE: HUNTSVILLE SENIOR SERVICES, LLC

MEDICARE: HUNTSVILLE SENIOR SERVICES, LLC
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
13140N1450XPediatric Skilled Nursing Facility12610AL
2314000000XSkilled Nursing FacilityN4505AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477506970
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNTSVILLE SENIOR SERVICES, LLC
Provider Business Mailing Address
First Line : 2061 POOLE DR NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35810-3843
Country : US
Telephone Number : 256-852-0033
Fax Number : 256-859-7700
Provider Business Practice Location Address
First Line : 2004 MAX LUTHER DR NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35810-3800
Country : US
Telephone Number : 256-852-0033
Fax Number : 256-859-7700
Authorized Official
Title or Position : ADMINISTRATOR
Name : VICKI L NESMITH
Credential :
Telephone Number : 256-852-0033
Provider Enumeration Date : 05/18/2006
Last Update Date : 04/18/2025

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Directions to “HUNTSVILLE SENIOR SERVICES, LLC ” Practice Location

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