Provider Demographics
NPI:1194927046
Name:CONTINUOUS CARE SERVICES ALABAMA, LLC
Entity type:Organization
Organization Name:CONTINUOUS CARE SERVICES ALABAMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:F
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-586-7147
Mailing Address - Street 1:545 MAINSTREAM DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1213
Mailing Address - Country:US
Mailing Address - Phone:615-259-2772
Mailing Address - Fax:
Practice Address - Street 1:120 OXMOOR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-5953
Practice Address - Country:US
Practice Address - Phone:205-941-3240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL182576251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL182576OtherBUSINESS LICENSE
AL182576OtherBUSINESS LICENSE