NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ivy Creek of Elmore, LLC

Rural Health Clinic/Center in Deatsville, AL · enumerated 2018 · authorized official Jade Lane, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578060349

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Ivy Creek of Elmore, LLC
Other name <Unavail>
Practice address 4412 Hogan Rd, Deatsville, AL, 36022
Phone (334) 514-4851
Fax (334) 543-4854
Enumeration date Apr 9, 2018
Last updated in NPPES Mar 20, 2025

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jade Lane
Title Credentialing Manager
Phone (334) 567-4311

Other identifiers

Identifier Type State Issuer
1608 Other AL MEDICARE B
01D2153925 Other AL CLIA
231138 Medicaid AL -
13474 Other AL MEDICARE A

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Ivy Creek of Elmore, LLC?
Ivy Creek of Elmore, LLC is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-20.