NPIMap

Organization Active NPI

Tnmo Healthcare, LLC

  • Home Health Agency
  • Rolla, MO
National Provider Identifier
1013081017
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
113306095 Issued in MO
Legal business name
TNMO HEALTHCARE, LLC
Doing business as
Gentiva
Practice address
1540 Bridgeschool Rd
Rolla, MO 65401-8115
Phone
(573) 364-3610
Fax
(573) 641-9018
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janet Combs
Title
VP of Licensure
Phone
(704) 664-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 113306095 MO Primary

Addresses

Primary practice location

1540 Bridgeschool Rd
Rolla, MO 65401-8115

Mailing address

PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 662-0416

Other practice location 1

751 Maple Valley Dr
Farmington, MO 63640-1944
Phone (573) 431-6599

Other practice location 2

655 Clinic Rd Ste 202
Hannibal, MO 63401-3647
Phone (573) 221-0838

Other practice location 3

905 E Main St
East Prairie, MO 63845-8133
Phone (573) 649-3316

Other practice location 4

709 N Kentucky Ave
West Plains, MO 65775-2085
Phone (417) 255-0753

Other practice location 5

3737 S Elizabeth St Ste 100
Independence, MO 64057-1785
Phone (573) 302-7467

Other identifiers 3

IdentifierTypeStateIssuer
263446106MedicaidMO
853446102MedicaidMO
283446102MedicaidMO

Other names 1

  • Gentiva Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentiva6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

655 Clinic Rd
Ste 202
Hannibal, MO 63401
Phone (573) 221-0838

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1013081017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-662-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BRIDGESCHOOL RD",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654018115",
            "telephone_number": "573-364-3610",
            "fax_number": "573-641-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Maple Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401944",
            "country_code": "US",
            "telephone_number": "573-431-6599",
            "fax_number": "573-431-8966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Clinic Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634013647",
            "country_code": "US",
            "telephone_number": "573-221-0838",
            "fax_number": "573-221-6033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 E Main St",
            "address_purpose": "LOCATION",
            "city": "East Prairie",
            "state": "MO",
            "postal_code": "638458133",
            "country_code": "US",
            "telephone_number": "573-649-3316",
            "fax_number": "573-649-3272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752085",
            "country_code": "US",
            "telephone_number": "417-255-0753",
            "fax_number": "417-257-2093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 S Elizabeth St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571785",
            "country_code": "US",
            "telephone_number": "573-302-7467",
            "fax_number": "573-302-7858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TNMO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "113306095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263446106",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853446102",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283446102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.