MEDICARE: JEFFERSON COUNTY HOME CARE PATIENT 1ST - ADPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073656278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFERSON COUNTY HOME CARE PATIENT 1ST - ADPH

Provider Business Mailing Address
First Line	:	201 MONROE ST STE 1200
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36130-3017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 MONROE ST STE 1200
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36130-3017
Country	:	US
Telephone Number	:	334-206-5456
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF HEALTH SYSTEMS
Name	:	REGINA L PATTERSON
Credential	:
Telephone Number	:	334-206-5061

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	09/13/2024

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