MEDICARE: DOCTORS MAKING HOME VISITS

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	305S00000X	Point of Service	305S00000X	AL

General Provider Information

NPI Number	:	1922485150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS MAKING HOME VISITS

Provider Business Mailing Address
First Line	:	8910 CROSSWIND CIR APT 305
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-8066
Country	:	US
Telephone Number	:	334-303-0657
Fax Number	:	334-356-9003

Provider Business Practice Location Address
First Line	:	5801 EASTDALE DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-2158
Country	:	US
Telephone Number	:	334-303-0657
Fax Number	:	334-356-9003

Authorized Official
Title or Position	:	CEO
Name	:	TISHA NICKSON
Credential	:
Telephone Number	:	334-303-0657

Provider Enumeration Date	:	04/27/2015
Last Update Date	:	04/27/2015

Similar Medicare Providers

1285034710 — LADARIUS WOODS
Practice Location Address:

5801 EASTDALE DR
MONTGOMERY, AL
36117-2158

Practice Phone: 601-260-4605
Practice Fax:

1487145918 — MOBILITY REHAB LLC
Practice Location Address:

5801 EASTDALE DR
MONTGOMERY, AL
36117-2158

Practice Phone: 601-573-9974
Practice Fax: 601-487-8546

1942269709 — DR. GREGORY THOMAS MCMAHON D.D.S.
Practice Location Address:

2711 ALBANY POST RD
MONTGOMERY, NY
12549-2158

Practice Phone: 845-457-1647
Practice Fax: 845-818-3921

1437209152 — RED APPLE DENTAL, P.C.
Practice Location Address:

2711 ALBANY POST RD
MONTGOMERY, NY
12549-2158

Practice Phone: 845-457-1647
Practice Fax: 845-818-3921

1710206685 — DR. ROBERT ALBERT KNAPICK LMFT
Practice Location Address:

219 FLAGSHIP BLVD APT 331
MONTGOMERY, TX
77316-2158

Practice Phone: 713-494-0915
Practice Fax:

1760775514 — HEATHER R ALDRIDGE-VENITUCCI LCSW-R
Practice Location Address:

2729 ALBANY POST RD
MONTGOMERY, NY
12549-2158

Practice Phone: 917-412-3723
Practice Fax: 718-504-9623

Directions to “DOCTORS MAKING HOME VISITS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.