MEDICAL CENTERS HOMECARE (MEDICAL CENTERS HOMECARE, LLC) NPI 1568645836

Home Health in Albertville, AL

NPI 1568645836 Organization Home Health CLIA Number 01D1085233 CLIA Certificate of Waiver

About MEDICAL CENTERS HOMECARE (MEDICAL CENTERS HOMECARE, LLC)

Medical Centers Homecare (medical Centers Homecare, Llc) is a provider established in Albertville, Alabama specializing in home health. The NPI number of Medical Centers Homecare (medical Centers Homecare, Llc) is 1568645836 and was assigned on December 2007. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Medical Centers Homecare. The authorized official of this NPI record is Mr. Nicholas Gachassin Iii (Secretary)

The CLIA number of Medical Centers Homecare is 01D1085233 registered as a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Medical Centers Homecare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1568645836

Provider NameMEDICAL CENTERS HOMECARE (MEDICAL CENTERS HOMECARE, LLC)
Provider Location Address5850 US HIGHWAY 431 STE 34 ALBERTVILLE, AL 35950
Provider Mailing AddressPO BOX 51266 LAFAYETTE, LA 70505
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMEDICAL CENTERS HOMECARE
Other Name TypeDoing Business As (3)
Enumeration Date12-10-2007
Last Update Date05-21-2020


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
Taxonomy DescriptionA 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.

Business Address

MEDICAL CENTERS HOMECARE
5850 US HIGHWAY 431 STE 34
ALBERTVILLE, AL
ZIP 35950
Phone: (256) 878-5811
Fax: (256) 878-5808

Get Directions


Mailing Address

MEDICAL CENTERS HOMECARE
PO BOX 51266
LAFAYETTE, LA
ZIP 70505
Phone: (337) 233-1307
Fax: (337) 233-5764



Authorized Official

Authorized Official NameMR. NICHOLAS GACHASSIN III
Authorized Official TitleSECRETARY
Authorized Official Phone(337) 233-1307

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1568645836 is:

CLIA Number01D1085233
Facility TypeHOME HEALTH AGENCY
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518593318DR. COREY EVAN BROWN PT, DPT
Individual
Physical Therapist5850 US HIGHWAY 431 STE 34
ALBERTVILLE, AL 35950
(256) 878-5811

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.