Organization Active NPI

Family Residential Home Care,LLC

  • Home Health Agency
  • Joplin, MO
National Provider Identifier
1083375364
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY RESIDENTIAL HOME CARE,LLC
Practice address
1201 S Wall Ave
Joplin, MO 64801-4552
Phone
(417) 529-7387
NPI assigned
Jan 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Luckner Jean
Title
Owner/Manager
Phone
(417) 529-7387

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1201 S Wall Ave
Joplin, MO 64801-4552

Mailing address

1201 S Wall Ave
Joplin, MO 64801-4552
Phone (417) 529-7387

National Provider Directory

National Provider Directory

Locations

1201 S Wall Ave
Joplin, MO 64801
Phone (417) 529-7387

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1083375364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S WALL AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014552",
            "telephone_number": "417-529-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S WALL AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014552",
            "telephone_number": "417-529-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESIDENTIAL HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "LUCKNER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "417-529-7387"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.