1912060740 NPI number — AMERICA'S BEST CARE PLUS, INC.

Table of content: (NPI 1912060740)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912060740 NPI number — AMERICA'S BEST CARE PLUS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICA'S BEST CARE PLUS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912060740
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1825 EVERETT DR W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT PAYNE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35968-3356
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-997-1770
Provider Business Mailing Address Fax Number:
256-997-1771

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1825 EVERETT DR W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT PAYNE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35968-3356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-997-1770
Provider Business Practice Location Address Fax Number:
256-997-1771
Provider Enumeration Date:
12/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HANCOCK
Authorized Official First Name:
CHARMAN
Authorized Official Middle Name:
SHIPMAN
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
256-997-1770

Provider Taxonomy Codes

  • Taxonomy code: 3336M0002X , with the licence number:  111213 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 111213 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 07138211 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0128050 . This is a "NCPDP NUMBER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 135112741 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200238600A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4582076 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: DE1518 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0715482 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100002967 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 54003231 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2491733 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 008504202 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009815150 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 191206074001 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5400323100 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100246850A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100246850B , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com