Organization Active NPI

Ameripride Home Care of Missouri, Inc

Doing business as AmeriPride Home Care

  • In Home Supportive Care Agency
  • Springfield, MO
National Provider Identifier
1184018525
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMERIPRIDE HOME CARE OF MISSOURI, INC
Doing business as
AmeriPride Home Care
Practice address
1918 E Meadowmere St Ste 9
Springfield, MO 65804-0333
Phone
(417) 889-4567
Fax
(417) 889-3073
NPI assigned
Mar 24, 2015
Last updated
Apr 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Chandra BhandariNPI 1548803141
Title
President
Phone
(417) 889-4567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1918 E Meadowmere St Ste 9
Springfield, MO 65804-0333

Mailing address

1918 E Meadowmere St Ste 9
Springfield, MO 65804-0333
Phone (417) 889-4567

Other identifiers 2

IdentifierTypeStateIssuer
M288876600MedicaidMO
M268876604MedicaidMO

Other names 1

  • AmeriPride Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ameripride Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1184018525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 E MEADOWMERE ST STE 9",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040333",
            "telephone_number": "417-889-4567",
            "fax_number": "417-889-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 E MEADOWMERE ST STE 9",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040333",
            "telephone_number": "417-889-4567",
            "fax_number": "417-889-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPRIDE HOME CARE OF MISSOURI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-889-4567"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M288876600",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M268876604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmeriPride Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AmeriPride Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.