Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MIZELL MEMORIAL HOSPITAL HOMECARE, LLC
Active
Organization
MIZELL MEMORIAL HOSPITAL HOMECARE, LLC
Active
Other names
LHC HomeCare of South Alabama
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1802 US HIGHWAY 84 W, SUITE A, OPP, AL 36467-3520
(334) 493-2087
(334) 493-7285
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-41052
BLUE CROSS BLUE SHIELD OF
AL
05
—
LHC 7134A
—
AL
Enumeration date
10/24/2006
Last updated
10/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up