Healthcare Provider Details

I. General information

NPI: 1740596600
Provider Name (Legal Business Name): ROBIN RENAE THOMAS PCA/CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2010
Last Update Date: 08/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2931 FAIRFAX AVE SUITE1
BESSEMER AL
35020-5268
US

IV. Provider business mailing address

2931 FAIRFAX AVE SUITE1
BESSEMER AL
35020-5268
US

V. Phone/Fax

Practice location:
  • Phone: 205-337-1479
  • Fax:
Mailing address:
  • Phone: 205-337-1479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateAL
# 7
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: