Organization Active NPI

Caring Hearts Homecare of Southeast Missouri LLC

  • In Home Supportive Care Agency
  • Dexter, MO
National Provider Identifier
1265073126
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CARING HEARTS HOMECARE OF SOUTHEAST MISSOURI LLC
Practice address
507 N Walnut St
Dexter, MO 63841-1707
Phone
(573) 624-9100
Fax
(573) 624-9947
NPI assigned
Oct 2, 2019
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Karyn Renee Griffin
Title
Agency Director / Member
Phone
(573) 624-9100

Specialties & licenses 1

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

Addresses

Primary practice location

507 N Walnut St
Dexter, MO 63841-1707

Mailing address

PO Box 211
Dexter, MO 63841-0211
Phone (573) 624-9100

Other identifiers 1

IdentifierTypeStateIssuer
M265205401MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Caring Hearts Homecare of Southeast Missouri 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

507 N Walnut St
Dexter, MO 63841
Phone (573) 624-9100

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1265073126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638410211",
            "telephone_number": "573-624-9100",
            "fax_number": "573-624-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411707",
            "telephone_number": "573-624-9100",
            "fax_number": "573-624-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS HOMECARE OF SOUTHEAST MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR / MEMBER",
        "authorized_official_telephone_number": "573-624-9100"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M265205401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.