Boone Hospital Center'S Visiting Nurses, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

639-8 Issued in MO

Legal business name

BOONE HOSPITAL CENTER'S VISITING NURSES, INC.

Practice address

1605 E. Broadway
Suite 250
Columbia, MO 65201

Phone

(573) 875-0555

Fax

(573) 875-0606

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Barry Chambers

Title

Cfo

Phone

(573) 815-3072

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Boone Hospital Home Care & Hospice Doing business as

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1477576437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E. BROADWAY",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-875-0555",
            "fax_number": "573-875-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E. BROADWAY",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-875-0555",
            "fax_number": "573-875-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE HOSPITAL CENTER'S VISITING NURSES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-815-3072"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "639-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "940562804",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "110232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820562809",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "60-00027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MO",
            "identifier": "30088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "18735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boone Hospital Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boone Hospital Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boone County Family Resources
• Boone County Senior Citizen Service Corporation
• Boone Health Supplies
• Boone Hospital Center'S Visiting Nurses, Inc
• Boone Hospital Center'S Visiting Nurses, Inc.
• Boone Physician Services, LLC
• Boone Physician Services, LLC
• Kendyl Renee Boone
• Cole Borchardt
• Camille Elise Bordelon, ATC, LAT

• All providers in Columbia, MO
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.