Healthcare Provider Details

I. General information

NPI: 1558171462
Provider Name (Legal Business Name): ROBIN LEE HARDIN OWNER OPERATOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN LEE HARDIN OWNER OPERATOR

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 DOYLE AVE
MOBILE AL
36605-3553
US

IV. Provider business mailing address

1333 DOYLE AVE
MOBILE AL
36605-3553
US

V. Phone/Fax

Practice location:
  • Phone: 251-545-5886
  • Fax:
Mailing address:
  • Phone: 251-545-5886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: