Safe Harbor Isl

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SAFE HARBOR ISL

Practice address

107 Holmes Dr
Sikeston, MO 63801-4649

Phone

(816) 775-9187

NPI assigned

Mar 18, 2019

Last updated

Mar 18, 2019By 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

Lori Caldwell

Title

Owner

Phone

(816) 775-9187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1396204566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HOLMES DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HOLMES DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014649",
            "telephone_number": "816-775-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR ISL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-775-9187"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Roth, DPT
• Royality Care in Home Services LLC
• Royality Care LLC
• Kenneth Wayne Rubenacker, M.S., CCC-A
• Safe Harbor in Home Service, LLC
• Animesh Sahai, MD
• Madhu Sahai, M.D.
• Saint Francis Medical Center (Saint Francis Clinic Sikeston)
• Saint Francis Medical Center (Saint Francis Clinic Sikeston)
• Saint Francis Medical Center (Saint Francis Laboratory Sikeston)

• In Home Supportive Care Agency in Sikeston, MO
• Providers in Sikeston, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.