Healthcare Provider Details

I. General information

NPI: 1013518216
Provider Name (Legal Business Name): ACAF OF EAST ALABAMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 CHEROKEE RD
ALEXANDER CITY AL
35010-3439
US

IV. Provider business mailing address

PO BOX 187
RAINSVILLE AL
35986
US

V. Phone/Fax

Practice location:
  • Phone: 256-392-6560
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER A BERRY
Title or Position: COO
Credential:
Phone: 256-638-6009