Healthcare Provider Details

I. General information

NPI: 1144295718
Provider Name (Legal Business Name): SCHOFIELD HOMECARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16109 HIGHWAY 43 STE B
RUSSELLVILLE AL
35653-8001
US

IV. Provider business mailing address

PO BOX 878
JACKSON TN
38302-0878
US

V. Phone/Fax

Practice location:
  • Phone: 256-332-8060
  • Fax: 256-332-8070
Mailing address:
  • Phone: 256-767-5509
  • Fax: 256-767-5510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number587
License Number StateAL

VIII. Authorized Official

Name: MR. DANIEL BRETT STOUTE
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 337-500-1977