EDNECIA FITZPATRICK NPI 1205439841

Respite Care in Trussville, AL

NPI 1205439841 Individual Female Respite Care

About EDNECIA FITZPATRICK

Ednecia Fitzpatrick is a provider established in Trussville, Alabama and her medical specialization is respite care. The NPI number of Ednecia Fitzpatrick is 1205439841 and was assigned on November 2020. The practitioner's primary taxonomy code is 385H00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

Ednecia Fitzpatrick is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1205439841

Provider Name EDNECIA FITZPATRICK
Provider Location Address6107 BROADWING RD TRUSSVILLE, AL 35173
Provider Mailing Address6107 BROADWING RD TRUSSVILLE, AL 35173
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-17-2020
Last Update Date11-17-2020


Primary Taxonomy

Taxonomy Code385H00000X
ClassificationRespite Care
TypeRespite Care Facility
Taxonomy DescriptionDefinition to come.

Business Address

EDNECIA FITZPATRICK
6107 BROADWING RD
TRUSSVILLE, AL
ZIP 35173
Phone: (404) 442-5001

Get Directions


Mailing Address

EDNECIA FITZPATRICK
6107 BROADWING RD
TRUSSVILLE, AL
ZIP 35173
Phone:



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1172A00000XOther Service ProvidersDriverNo

Taxonomy Description: a person employed to operate a motor vehicle as a carrier of persons or property.

2251E00000XAgenciesHome HealthNo

Taxonomy Description: a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

3261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)No

Taxonomy Description: Not Available

4343900000XTransportation ServicesNon-emergency Medical Transport (VAN)No

Taxonomy Description: a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

5376G00000XNursing Service Related ProvidersNursing Home AdministratorNo

Taxonomy Description: an individual, often licensed by the state, who is responsible for the management of a nursing home.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
85-1764905MEDICAID (05)AL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.