Organization Active NPI

Advanced Home Care, LLC

  • In Home Supportive Care Agency
  • New Madrid, MO
National Provider Identifier
1215280292
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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)CodeLicenseStatePrimary
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 LLC2 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.

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.

Verify at the official NPI Registry.