Active NPI
On My Own, Inc.
Doing business as On My Own In Home Care
- Chore Provider
- Nevada, MO
National Provider Identifier
1558736207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Legal business name
- ON MY OWN, INC.
- Doing business as
- On My Own In Home Care
- Practice address
- 428 E Highland Ave
Nevada, MO 64772-1019 - Phone
- (417) 667-7007
- Fax
- (417) 667-6262
- NPI assigned
- Dec 7, 2015
- Last updated
- Dec 16, 2024
- 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
- Mrs. Jennifer Gundy
- Title
- Executive Director
- Phone
- (417) 667-7007
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
428 E Highland Ave
Nevada, MO 64772-1019
Mailing address
428 E Highland Ave
Nevada, MO 64772-1019
Phone (417) 667-7007
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841322617 | Medicaid | MO | |
| M286212402 | Medicaid | MO | |
| 1558736207 | Medicaid | MO |
Other names 1
- On My Own In Home Care
National Provider Directory
National Provider Directory- Tax ID family
- On My Own in Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Nevada, MO
- NPI 1841322617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1558736207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 E HIGHLAND AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647721019",
"telephone_number": "417-667-7007",
"fax_number": "417-667-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E HIGHLAND AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647721019",
"telephone_number": "417-667-7007",
"fax_number": "417-667-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON MY OWN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-07",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "GUNDY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "417-667-7007",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841322617",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M286212402",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558736207",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "On My Own In Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "On My Own In Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.