Caring Hearts Homecare of Southeast Missouri LLC

Organization Active NPI In Home Supportive Care Agency · Dexter, MO

NPI 1003457425 · NPPES record last updated Feb 1, 2022

Key facts

NPI
1003457425
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
CARING HEARTS HOMECARE OF SOUTHEAST MISSOURI LLC
Practice address
507 N Walnut St
Dexter, MO 63841-1707
Phone
(573) 624-9100
Fax
(573) 624-9947
NPI assigned
Oct 7, 2019
Organization subpart
No

Authorized official

Name
Karyn Renee Griffin
Title
Agency Director / Member
Phone
(573) 624-9100

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Caring Hearts Homecare of Southeast Missouri LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

507 N Walnut St
Dexter, MO 63841-1707

Mailing address

PO Box 211
Dexter, MO 63841-0211
Phone (573) 624-9100

Other identifiers

IdentifierTypeStateIssuer
M285205407MedicaidMO

Other providers in Dexter, MO

All providers in Dexter, MO · In Home Supportive Care Agency in Missouri

Sources for this page

Verify at the official NPI Registry.