Active NPI
Bluff Home Care LLC
- In Home Supportive Care Agency
- Poplar Bluff, MO
National Provider Identifier
1497539886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.