Healthcare Provider Details

I. General information

NPI: 1215866561
Provider Name (Legal Business Name): MADDOX HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 YOUNG AMERICA DR
DOTHAN AL
36303-1834
US

IV. Provider business mailing address

323 YOUNG AMERICA DR
DOTHAN AL
36303-1834
US

V. Phone/Fax

Practice location:
  • Phone: 229-220-5752
  • Fax:
Mailing address:
  • Phone: 229-220-5752
  • Fax:

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: SHEENA NICOLE PITTMAN
Title or Position: REGISTERED NURSE
Credential:
Phone: 229-220-5752