Healthcare Provider Details

I. General information

NPI: 1114443009
Provider Name (Legal Business Name): ANSWERED PRAYER HOME CARE SERVICES OF AUBURN LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 08/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3365 SKYWAY DR STE 400
AUBURN AL
36830-6485
US

IV. Provider business mailing address

PO BOX 1729
OPELIKA AL
36803-1729
US

V. Phone/Fax

Practice location:
  • Phone: 334-467-0023
  • Fax: 334-539-1761
Mailing address:
  • Phone: 334-467-0023
  • Fax: 334-539-1761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JESSICA KELLEY BOROFF
Title or Position: OWNER
Credential: BSRN
Phone: 334-467-0023