Ivy Creek of Elmore, LLC
NPI 1578060349 · Rural Health Clinic/Center · Deatsville, AL
Ivy Creek of Elmore, LLC is a Rural Health Clinic/Center organization in Deatsville, AL (NPI 1578060349).
Provider details
- NPI number
- 1578060349
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jade Lane, Credentialing Manager(334) 567-4311
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- Ivy Creek Family Care of Holtville
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is Ivy Creek of Elmore, LLC's NPI number?
- Ivy Creek of Elmore, LLC's National Provider Identifier (NPI) is 1578060349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek of Elmore, LLC?
- Ivy Creek of Elmore, LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ivy Creek of Elmore, LLC located?
- Ivy Creek of Elmore, LLC's practice location on file with NPPES is 4412 Hogan Rd, Deatsville, AL 36022-3400.
- What is Ivy Creek of Elmore, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek of Elmore, LLC is (334) 514-4851.
- Who is the authorized official for Ivy Creek of Elmore, LLC?
- The authorized official listed on Ivy Creek of Elmore, LLC's NPPES record is Jade Lane, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Creek of Elmore, LLC's NPI active?
- Yes — Ivy Creek of Elmore, LLC's NPI (1578060349) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.