Maxmath Tutoring Online Inc Missouri Branch

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

X001289815 Issued in MO

Legal business name

MAXMATH TUTORING ONLINE INC MISSOURI BRANCH

Practice address

1400 Forum Blvd
Columbia, MO 65203-1938

Phone

(888) 959-4159

Fax

(888) 959-4173

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Jean Maxcene Decarde

Title

President

Phone

(888) 959-4159

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548790033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FORUM BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031938",
            "telephone_number": "888-959-4159",
            "fax_number": "888-959-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FORUM BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031938",
            "telephone_number": "888-959-4159",
            "fax_number": "888-959-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXMATH TUTORING ONLINE INC MISSOURI BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DECARDE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MAXCENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-959-4159"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "X001289815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N000705299",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maurizi Isl Home
• David Brent Mauro, MD
• Christopher Mawhinney, LPC, CRC
• Kathy Elaine Maxey, PT, ATC
• Maximize Wellness Holdings, LLC
• Jeremy D. Maxwell, DC
• Kortney J Maxwell
• Nathan May
• Sara Elizabeth May
• Lori Elizabeth Maybrier, MSN, CNM

• Home Health Agency in Columbia, MO
• Providers in Columbia, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.