Active NPI
Homecare of Mid Missouri Inc
Doing business as HomeCare of Mid Missouri Hospice
- Nursing Care Agency
- Moberly, MO
National Provider Identifier
1255463253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- HOMECARE OF MID MISSOURI INC
- Doing business as
- HomeCare of Mid Missouri Hospice
- Practice address
- 102 West Reed Street
Moberly, MO 65270-1555 - Phone
- (660) 263-1517
- Fax
- (660) 263-2737
- NPI assigned
- Mar 12, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Diane K Noah, BSN RN
- Title
- Executive Director
- Phone
- (660) 263-1517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
102 West Reed Street
Moberly, MO 65270-1555
Mailing address
102 West Reed Street
Moberly, MO 65270-1555
Phone (660) 263-1517
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5085918 | Other | MO | MO DEPT OF MENTAL HEALTH |
| 281684704 | Medicaid | MO | |
| 0000215 | Other | MO | TITLE XX SSBG |
Other names 1
- HomeCare of Mid Missouri Hospice
National Provider Directory
National Provider DirectoryLocations
102 W Reed St
Moberly, MO 65270
Phone (660) 263-1517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255463253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WEST REED STREET",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652701555",
"telephone_number": "660-263-1517",
"fax_number": "660-263-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WEST REED STREET",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652701555",
"telephone_number": "660-263-1517",
"fax_number": "660-263-2737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMECARE OF MID MISSOURI INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NOAH",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "660-263-1517",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSN RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO DEPT OF MENTAL HEALTH",
"identifier": "5085918",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281684704",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TITLE XX SSBG",
"identifier": "0000215",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HomeCare of Mid Missouri Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.