Provider Demographics
NPI:1104577485
Name:OPULENCE HOMECARE LLC
Entity type:Organization
Organization Name:OPULENCE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-643-5197
Mailing Address - Street 1:1141 MONTLIMAR DR STE 2012
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-1720
Mailing Address - Country:US
Mailing Address - Phone:251-333-5100
Mailing Address - Fax:251-317-6300
Practice Address - Street 1:1141 MONTLIMAR DR STE 2012
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1720
Practice Address - Country:US
Practice Address - Phone:251-333-5100
Practice Address - Fax:251-317-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care