Healthcare Provider Details

I. General information

NPI: 1306413588
Provider Name (Legal Business Name): FEELS LIKE HOME SENIOR CARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 QUEENS CT
MOODY AL
35004-3514
US

IV. Provider business mailing address

2010 QUEENS CT
MOODY AL
35004-3514
US

V. Phone/Fax

Practice location:
  • Phone: 205-421-8644
  • Fax:
Mailing address:
  • Phone: 205-421-8644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MISS EBONY DIXON
Title or Position: CEO/OWNER
Credential: REGISTERED NURSE
Phone: 205-421-8644