Active NPI
Advanced Home Care, LLC
- In Home Supportive Care Agency
- New Madrid, MO
National Provider Identifier
1215280292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ADVANCED HOME CARE, LLC
- Practice address
- 39 Villa Shopping Center
New Madrid, MO 63869-1230 - Phone
- (573) 748-5757
- Fax
- (573) 748-5382
- NPI assigned
- Oct 16, 2012
- Last updated
- Oct 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dianne Ivy
- Title
- Member
- Phone
- (573) 748-5757
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | ||
| Homemaker | 376J00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
39 Villa Shopping Center
New Madrid, MO 63869-1230
Mailing address
PO Box 487
New Madrid, MO 63869-0487
Phone (573) 748-5757
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Homecare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Homemaker
- New Madrid, MO
- NPI 1104178177
Locations
39 Villa Shopping Ctr
New Madrid, MO 63869
Phone (573) 748-5757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1215280292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "NEW MADRID",
"state": "MO",
"postal_code": "638690487",
"telephone_number": "573-748-5757",
"fax_number": "573-748-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 VILLA SHOPPING CENTER",
"city": "NEW MADRID",
"state": "MO",
"postal_code": "638691230",
"telephone_number": "573-748-5757",
"fax_number": "573-748-5382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "IVY",
"authorized_official_first_name": "DIANNE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "573-748-5757",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Madrid, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.