NPIMap

Organization Active NPI

Pcrmc-Health Services, Inc.

Doing business as Phelps Health Homecare

  • Home Health Aide
  • Rolla, MO
National Provider Identifier
1427185206
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
0004588 Issued in MO
Legal business name
PCRMC-HEALTH SERVICES, INC.
Doing business as
Phelps Health Homecare
Practice address
1500 E State Hwy 72
Rolla, MO 65401-3926
Phone
(573) 364-2425
Fax
(573) 364-3993
NPI assigned
Feb 27, 2007
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Jana Cook
Title
VP, Chief Financial Officer
Phone
(573) 458-7916

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 0004588 MO Primary
Homemaker 376J00000X
Nurse's Aide 376K00000X
Community Health Registered Nurse 163WC1500X 0004588 MO
Licensed Practical Nurse 164W00000X 0004588 MO

Addresses

Primary practice location

1500 E State Hwy 72
Rolla, MO 65401-3926

Mailing address

1500 E State Hwy 72
Rolla, MO 65401-3926
Phone (573) 364-2425

Other identifiers 1

IdentifierTypeStateIssuer
263815508MedicaidMO

Other names 1

  • Phelps Health Homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pcrmc-Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

575A Blues Lake Pkwy
Rolla, MO 65401
Phone (573) 364-2425

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1427185206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E STATE HWY 72",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013926",
            "telephone_number": "573-364-2425",
            "fax_number": "573-364-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E STATE HWY 72",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013926",
            "telephone_number": "573-364-2425",
            "fax_number": "573-364-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCRMC-HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "VP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "573-458-7916"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": "0004588",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MO",
            "license": "0004588",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "0004588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263815508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelps Health Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.