AMERICAN FAMILY CARE, LLC; NPI #1073891792

Contact Information

AMERICAN FAMILY CARE, LLC

5235 RANGELINE SERVICE RD S
STE# 101
MOBILE, AL 36619-9541

Phone: 251-544-6449
Fax: 251-544-6450
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Clinic/Center	261Q00000X
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for AMERICAN FAMILY CARE, LLC

NPI Number 1073891792

LBN Legal business name AMERICAN FAMILY CARE, LLC

Authorized official RANDY JOHANSEN - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/29/2011

Last updated 03/27/2025 - More than a year ago

Identifiers

Medicaid

529202590

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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