Provcare Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROVCARE HOME CARE AGENCY LLC

Practice address

216 S Washington St
Clinton, MO 64735-2073

Phone

(816) 226-8585

Fax

(816) 787-1341

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Shmuel Zargary

Title

Member/Manager

Phone

(816) 226-8585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1629895545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SAN GABRIEL DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102842",
            "telephone_number": "718-755-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S WASHINGTON ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352073",
            "telephone_number": "816-226-8585",
            "fax_number": "816-787-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVCARE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "ZARGARY",
        "authorized_official_first_name": "SHMUEL",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "816-226-8585"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Michelle Pipes, RDH
• Mariana Politte, MA, LPC, NCC
• Tara D Poole, PA
• Courtney Louise Porter, M.S. CF-SLP
• Mallory Pritzel, M.S. CF-SLP
• Quad States Medical Rehab and Supply LLC
• Terri Rager-White, MS
• Carmen L Rathert
• Susan Raucstadt, LCSW
• Krista Reed, LPN

• In Home Supportive Care Agency in Clinton, MO
• Providers in Clinton, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.