Southwest Missouri Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

505 Issued in MO

Legal business name

SOUTHWEST MISSOURI HOMECARE, LLC

Doing business as

Access Home Health Agency

Practice address

1240 E Independence St
Suite 100
Springfield, MO 65804-4386

Phone

(417) 863-7100

Fax

(417) 863-7204

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Donald D. Stelly

Title

President

Phone

(337) 233-1307

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Access Home Health Agency Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Frank Howell, PSYD

  • Forensic Psychologist
  • Bolivar, MO
  • NPI 1629032727
  NPD (past)
• Tommie L Miller, LCSW

  • Clinical Social Worker
  • Bolivar, MO
  • NPI 1255395380
  NPD (past)
• Angela Suzzanne Olomon, DO, FACN

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1487618062
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1316129208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E INDEPENDENCE ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044386",
            "telephone_number": "417-863-7100",
            "fax_number": "417-863-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MISSOURI HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "505",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948212600",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588212605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Center for Independent Living
• Southwest Center for Independent Living
• Southwest Center for Independent Living
• Southwest Childrens LLC
• Southwest Missouri Homecare, LLC
• Southwest Missouri Homecare, LLC
• Southwest Missouri Infectious Disease LLC
• Southwest Missouri Pediatric Speech Therapy LLC
• Southwestern Womens Health LLC
• Joshua Keith Soward I, M.A.

• Home Health Agency in Springfield, MO
• Providers in Springfield, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.