Organization Active NPI

On My Own, Inc.

Doing business as On My Own In Home Care

  • Chore Provider
  • Nevada, MO
National Provider Identifier
1558736207
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1841322617MedicaidMO
M286212402MedicaidMO
1558736207MedicaidMO

Other names 1

  • On My Own In Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
On My Own in Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.