Healthcare Provider Details

I. General information

NPI: 1013909670
Provider Name (Legal Business Name): BAPTIST HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PRINCETON AVE SW
BIRMINGHAM AL
35211-1303
US

IV. Provider business mailing address

701 PRINCETON AVE SW
BIRMINGHAM AL
35211-1303
US

V. Phone/Fax

Practice location:
  • Phone: 205-783-7922
  • Fax: 205-783-7964
Mailing address:
  • Phone: 205-783-7922
  • Fax: 205-783-7964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA MATTHEWS
Title or Position: CLINICAL MANAGER
Credential:
Phone: 205-783-7922