Community Wide in Home LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

COMMUNITY WIDE IN HOME LLC

Practice address

106 Lunbeck Ave
Gideon, MO 63848-9276

Phone

(573) 448-3297

Fax

(573) 448-3297

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terry Dean Davis

Title

President Ceo

Phone

(573) 448-3297

Specialties & licenses 1

Addresses

Tax ID family

Community Wide in Home 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.

• Community Wide in Home LLC

  • Personal Care Attendant
  • Gideon, MO
  • NPI 1184892366
  NPD tax ID

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1356519557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LUNBECK AVE",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638489276",
            "telephone_number": "573-448-3297",
            "fax_number": "573-448-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LUNBECK AVE",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638489276",
            "telephone_number": "573-448-3297",
            "fax_number": "573-448-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WIDE IN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "573-448-3297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah N. Breece
• Community Wide CDS LLC
• Community Wide in Home LLC
• Laurell A Conder, NP-C
• Courageous Findings LLC
• Everybodys Home LLC
• Gideon 37 School District
• Gideon Care Center, Inc

• Homemaker in Gideon, MO
• Providers in Gideon, MO by specialty
• Homemaker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.