MEDICARE: BLUE FEATHER INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538668058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE FEATHER INC

Provider Business Mailing Address
First Line	:	7734 MADISON BLVD STE 125
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2382
Country	:	US
Telephone Number	:	256-772-5939
Fax Number	:	256-615-8770

Provider Business Practice Location Address
First Line	:	7734 MADISON BLVD STE 125
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2382
Country	:	US
Telephone Number	:	256-772-5939
Fax Number	:	256-615-8770

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ANDREA E JOHNSON
Credential	:	CNA
Telephone Number	:	256-772-5939

Provider Enumeration Date	:	02/10/2018
Last Update Date	:	02/10/2018

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Directions to “BLUE FEATHER INC ” Practice Location

Language	Start Address	Practice Location

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