Organization Active NPI

Bluff Home Care LLC

  • In Home Supportive Care Agency
  • Poplar Bluff, MO
National Provider Identifier
1497539886
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUFF HOME CARE LLC
Practice address
213 N Broadway St
Poplar Bluff, MO 63901-5135
Phone
(573) 300-4200
Fax
(573) 300-4210
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Celina McCain
Title
Ceo
Phone
(573) 718-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

213 N Broadway St
Poplar Bluff, MO 63901-5135

Mailing address

273 Hunter Rd
Poplar Bluff, MO 63901-7486

National Provider Directory

National Provider Directory

Locations

211 N Broadway St
Ste 203
Poplar Bluff, MO 63901

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1497539886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 HUNTER RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639017486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N BROADWAY ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015135",
            "telephone_number": "573-300-4200",
            "fax_number": "573-300-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "CELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-718-0015"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 2023; 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.