Provider Demographics
NPI:1104891761
Name:SCHOFIELD HOMECARE SERVICES, INC.
Entity type:Organization
Organization Name:SCHOFIELD HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:STOUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-500-1977
Mailing Address - Street 1:PO BOX 878
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38302-0878
Mailing Address - Country:US
Mailing Address - Phone:256-767-5509
Mailing Address - Fax:256-767-5510
Practice Address - Street 1:1709 DARBY DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-2741
Practice Address - Country:US
Practice Address - Phone:256-767-5509
Practice Address - Fax:256-767-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL508332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009925535Medicaid
AL515-16651OtherBCBSAL
MS04338570Medicaid
AL4833300001Medicare NSC