Organization Active NPI

Homecare Providers Group LLC

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1629365754
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2000164718 Issued in MO
Legal business name
HOMECARE PROVIDERS GROUP LLC
Practice address
5452 S Pinehurst Ave
Springfield, MO 65810-2768
Phone
(417) 234-3868
Fax
(888) 511-3547
NPI assigned
Jul 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Robert Kail, NPNPI 1558354605
Title
Manager
Phone
(417) 234-3868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 2000164718 MO Primary

Addresses

Primary practice location

5452 S Pinehurst Ave
Springfield, MO 65810-2768

Mailing address

5452 S Pinehurst Ave
Springfield, MO 65810-2768
Phone (417) 234-3868

Other identifiers 1

IdentifierTypeStateIssuer
MA3550OtherMOMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1629365754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 S PINEHURST AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102768",
            "telephone_number": "417-234-3868",
            "fax_number": "888-511-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 S PINEHURST AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102768",
            "telephone_number": "417-234-3868",
            "fax_number": "888-511-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE PROVIDERS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-10",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "KAIL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-234-3868",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2000164718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA3550",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.