Organization Active NPI

Difference Makers in-Home Care, LLC

  • In Home Supportive Care Agency
  • Sikeston, MO
National Provider Identifier
1063051688
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIFFERENCE MAKERS IN-HOME CARE, LLC
Doing business as
Difference Makers In-Home Care, LLC
Practice address
1237 Yellowstone
Sikeston, MO 63801-5752
Phone
(573) 521-8173
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Mr. Dustin Redden
Title
Designated Manager
Phone
(573) 521-8173

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1237 Yellowstone
Sikeston, MO 63801-5752

Mailing address

1237 Yellowstone
Sikeston, MO 63801-5752
Phone (573) 521-8173

Other names 1

  • Difference Makers In-Home Care, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1063051688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 YELLOWSTONE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015752",
            "telephone_number": "573-521-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 YELLOWSTONE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015752",
            "telephone_number": "573-521-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFERENCE MAKERS IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "REDDEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "DESIGNATED MANAGER",
        "authorized_official_telephone_number": "573-521-8173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Difference Makers In-Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.