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DIXIE NURSING CARE NPI 1134254832


NPI Information

NPI: 1134254832
Provider Name: DIXIE NURSING CARE
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
696 SILVER HILLS DR
SUITE 111
PRATTVILLE, AL
ZIP 36066
Phone: (334) 361-0195
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DIXIE NURSING CARE is a licensed practical nurse in Prattville, AL. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. DIXIE NURSING CARE NPI is 1134254832. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

696 SILVER HILLS DR
SUITE 111
PRATTVILLE, AL
ZIP 36066-184
Phone: (334) 361-0195
Fax: (334) 361-0633

The provider's authorized official is Jesse M Amis .
The authorized official title is Owner and has the following contact phone number (662) 563-1275.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNo
2376K00000XNurse's AideNo
3164W00000XLicensed Practical NurseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121402MEDICAIDALABAMA
2PVT0013ZMEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.