Organization Active NPI

Bertha Buck Dba Bucks Homecare Services

  • Home Health Agency
  • Braggadocio, MO
National Provider Identifier
1306906219
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BERTHA BUCK DBA BUCKS HOMECARE SERVICES
Practice address
2199 St. Hwy Z
Braggadocio, MO 63826-0130
Phone
(573) 757-6257
Fax
(573) 757-6257
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bertha Buck
Title
C.E.O.
Phone
(573) 757-6257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO Primary

Addresses

Primary practice location

2199 St. Hwy Z
Braggadocio, MO 63826-0130

Mailing address

PO Box 130
Braggadocio, MO 63826-0130
Phone (573) 757-6257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306906219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "BRAGGADOCIO",
            "state": "MO",
            "postal_code": "638260130",
            "telephone_number": "573-757-6257",
            "fax_number": "573-757-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 ST. HWY Z",
            "city": "BRAGGADOCIO",
            "state": "MO",
            "postal_code": "638260130",
            "telephone_number": "573-757-6257",
            "fax_number": "573-757-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHA BUCK DBA BUCKS HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "573-757-6257",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.

Verify at the official NPI Registry.