=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235029166
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTHWEST ALABAMA HOME HEALTH, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2025
-----------------------------------------------------
Last Update Date | 07/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 56 JULIE ANN DR
-----------------------------------------------------
City | MUSCLE SHOALS
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35661-4795
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-247-8533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 56 JULIE ANN DR
-----------------------------------------------------
City | MUSCLE SHOALS
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35661-4795
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-247-8533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | JOSHUA B BYRD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 256-247-8533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------