OrganizationActive
American Family Care, LLC
NPI 1720459134 · General Practice Physician · Enterprise, AL
Provider details
- NPI number
- 1720459134
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- American Family Care, LLC
- Organization subpart
- Yes
- Authorized official
- Randy Johansen, President(205) 403-8902
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
606 Boll Weevil Cir
A
Enterprise, AL 36330-2734
Phone: (334) 475-2462
Fax: (334) 475-2466
Approximate (ZIP-level) locationGet directions
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Other names (DBA / former)
- Doing business as
- American Family Care
Registry dates
- Enumerated
- 2015-10-12
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.