Active NPI
Tri-County Group XV, Inc.
- Home Health Agency
- Poplar Bluff, MO
National Provider Identifier
1487705067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRI-COUNTY GROUP XV, INC.
- Doing business as
- Elara Caring
- Practice address
- 2016 N Westwood Blvd Ste 1
Poplar Bluff, MO 63901-2810 - Phone
- (888) 824-1505
- Fax
- (573) 776-6050
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angel Stansbury
- Title
- Dir License & Regulatory Compliance
- Phone
- (337) 344-2141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MO | Primary |
Addresses
Primary practice location
2016 N Westwood Blvd Ste 1
Poplar Bluff, MO 63901-2810
Mailing address
3010 Lyndon B Johnson Fwy Ste 1100
Dallas, TX 75234-2712
Phone (517) 768-4373
Other practice location 1
3230 Emerald Ln Ste 400
Jefferson City, MO 65109-3711
Phone (888) 824-1505
Other practice location 2
209 Slicer St
Kennett, MO 63857-3022
Phone (888) 824-1505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281701706 | Medicaid | MO |
Other names 1
- Elara Caring
National Provider Directory
National Provider Directory- Tax ID family
- Tri-County Group XV Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Kennett, MO
- NPI 1316097157
-
- Home Health Agency
- Bridgeton, MO
- NPI 1578165494
-
- Home Health Agency
- Jefferson City, MO
- NPI 1629256722
Locations
3230 Emerald Ln
Ste 400
Jefferson City, MO 65109
Phone (888) 824-1505
2016 N Westwood Blvd
Ste 1
Poplar Bluff, MO 63901
Phone (573) 785-0545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1487705067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 LYNDON B JOHNSON FWY STE 1100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752342712",
"telephone_number": "517-768-4373",
"fax_number": "903-537-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 N WESTWOOD BLVD STE 1",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012810",
"telephone_number": "888-824-1505",
"fax_number": "573-776-6050"
}
],
"practiceLocations": [
{
"address_1": "3230 Emerald Ln Ste 400",
"address_purpose": "LOCATION",
"city": "Jefferson City",
"state": "MO",
"postal_code": "651093711",
"country_code": "US",
"telephone_number": "888-824-1505",
"fax_number": "573-776-6050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "209 Slicer St",
"address_purpose": "LOCATION",
"city": "Kennett",
"state": "MO",
"postal_code": "638573022",
"country_code": "US",
"telephone_number": "888-824-1505",
"fax_number": "573-888-5972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRI-COUNTY GROUP XV, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "STANSBURY",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "DIR LICENSE & REGULATORY COMPLIANCE",
"authorized_official_telephone_number": "337-344-2141"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281701706",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elara Caring",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.