Advanced Home Care, LLC
Organization Active NPI Homemaker · New Madrid, MO
NPI 1104178177 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1104178177
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- Legal business name
- ADVANCED HOME CARE, LLC
- Practice address
- 39 Villa Shopping Ctr
New Madrid, MO 63869-1230 - Phone
- (573) 748-5757
- Fax
- (573) 748-5382
- NPI assigned
- Oct 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dianne Ivy
- Title
- Member
- Phone
- (573) 748-5757
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Advanced Homecare LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | |||
| Licensed Practical Nurse |
164W00000X | |||
| Homemaker |
376J00000X | Yes | ||
| Nurse's Aide |
376K00000X |
Addresses
Primary practice location
39 Villa Shopping Ctr
New Madrid, MO 63869-1230
Mailing address
PO Box 487
New Madrid, MO 63869-0487
Phone (573) 748-5757
Other providers in New Madrid, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.