Organization Active NPI

Homemaker Health Care, Inc.

  • Home Health Agency
  • Jefferson City, MO
National Provider Identifier
1396869913
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
772-1 Issued in MO
Legal business name
HOMEMAKER HEALTH CARE, INC.
Practice address
1760 Southridge Dr
Jefferson City, MO 65109-2046
Phone
(573) 635-3900
Fax
(573) 635-6297
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mr. Jeffrey Wayne B Uker
Title
Executive Director
Phone
(573) 635-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 772-1 MO Primary

Addresses

Primary practice location

1760 Southridge Dr
Jefferson City, MO 65109-2046

Mailing address

1760 Southridge Dr
Jefferson City, MO 65109-2046
Phone (573) 635-3900

Other identifiers 2

IdentifierTypeStateIssuer
581711207MedicaidMO
JH-0116OtherMOAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1396869913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 SOUTHRIDGE DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092046",
            "telephone_number": "573-635-3900",
            "fax_number": "573-635-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 SOUTHRIDGE DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092046",
            "telephone_number": "573-635-3900",
            "fax_number": "573-635-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEMAKER HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "B UKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-635-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "772-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581711207",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "JH-0116",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.