Healthcare Provider Details

I. General information

NPI: 1659202380
Provider Name (Legal Business Name): PATRICIA L MCBRIDE I HEALTHCARE CAREGIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 COUNTY ROAD 108
MONTEVALLO AL
35115-9717
US

IV. Provider business mailing address

227 COUNTY ROAD 108
MONTEVALLO AL
35115-9717
US

V. Phone/Fax

Practice location:
  • Phone: 205-597-7780
  • Fax:
Mailing address:
  • Phone: 205-597-7780
  • Fax: 205-597-7780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number001246534
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: