Healthcare Provider Details

I. General information

NPI: 1407773328
Provider Name (Legal Business Name): NILES HOMES CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 GEHRIG AVE
PRICHARD AL
36610-2328
US

IV. Provider business mailing address

634 GEHRIG AVE
PRICHARD AL
36610-2328
US

V. Phone/Fax

Practice location:
  • Phone: 251-654-8635
  • Fax:
Mailing address:
  • Phone: 251-654-8635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERRA VAIL
Title or Position: OWNER
Credential: CAREGIVER
Phone: 251-654-8635