Provider Demographics
NPI:1558171462
Name:HARDIN, ROBIN LEE (OWNER OPERATOR)
Entity type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:LEE
Last Name:HARDIN
Suffix:
Gender:F
Credentials:OWNER OPERATOR
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LEE
Other - Last Name:HARDIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OWNER OPERATOR
Mailing Address - Street 1:1333 DOYLE AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605-3553
Mailing Address - Country:US
Mailing Address - Phone:251-545-5886
Mailing Address - Fax:
Practice Address - Street 1:1333 DOYLE AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605-3553
Practice Address - Country:US
Practice Address - Phone:251-545-5886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X, 172V00000X
AL374U00000X, 172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No172V00000XOther Service ProvidersCommunity Health Worker