Ivy Creek of Tallapoosa LLC
NPI 1225211709 · Home Health Agency · Dadeville, AL
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Creek of Tallapoosa LLC is a Home Health Agency organization in Dadeville, AL (NPI 1225211709).
Provider details
- NPI number
- 1225211709
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Pam Tidwell, Home Health Director(256) 397-1440
- License
- 017117 (AL)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Martin Home Health
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is Ivy Creek of Tallapoosa LLC's NPI number?
- Ivy Creek of Tallapoosa LLC's National Provider Identifier (NPI) is 1225211709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek of Tallapoosa LLC?
- Ivy Creek of Tallapoosa LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Ivy Creek of Tallapoosa LLC located?
- Ivy Creek of Tallapoosa LLC's practice location on file with NPPES is 301 Mariarden Rd, Dadeville, AL 36853-6254.
- What is Ivy Creek of Tallapoosa LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek of Tallapoosa LLC is (256) 825-7050.
- Does Ivy Creek of Tallapoosa LLC accept Medicare?
- Ivy Creek of Tallapoosa LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ivy Creek of Tallapoosa LLC?
- The authorized official listed on Ivy Creek of Tallapoosa LLC's NPPES record is Pam Tidwell, Home Health Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Creek of Tallapoosa LLC's NPI active?
- Yes — Ivy Creek of Tallapoosa LLC's NPI (1225211709) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.