MEDICARE: EAST ALABAMA MEDICAL CENTER HOMECARE, LLC

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	:	1770717738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST ALABAMA MEDICAL CENTER HOMECARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 51266
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1266
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-233-5764

Provider Business Practice Location Address
First Line	:	2178 MOORES MILL RD
Second Line	:
City	:	AUBURN
State	:	AL
Zip	:	36830-8447
Country	:	US
Telephone Number	:	334-826-3131
Fax Number	:	334-821-8894

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOSHUA L PROFFITT
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	09/04/2025

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