Careway CDS LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAREWAY CDS LLC

Practice address

414 E Jackson St
Willard, MO 65781-9208

Phone

(417) 860-8028

NPI assigned

Aug 6, 2025

Last updated

Aug 6, 2025By 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

Kobe Holloman

Title

Owner

Phone

(417) 860-8028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1487539920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S DUKE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025769",
            "telephone_number": "417-860-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E JACKSON ST",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819208",
            "telephone_number": "417-860-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWAY CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "HOLLOMAN",
        "authorized_official_first_name": "KOBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-860-8028"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Willard, MO
• Providers in Willard, 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 Aug 6, 2025; 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.