Organization Active NPI

Close to Home, LL

  • Adult Day Care Clinic/Center
  • Columbia, MO
National Provider Identifier
1639680333
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CLOSE TO HOME, LL
Practice address
1204 Rogers St Ste 101
Columbia, MO 65201-4736
Phone
(573) 476-4134
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Authorized official

Name
Sameerah Hasan
Title
Owner
Phone
(573) 639-0657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1204 Rogers St Ste 101
Columbia, MO 65201-4736

Mailing address

1204 Rogers St Ste 101
Columbia, MO 65201-4736

National Provider Directory

National Provider Directory

Locations

1204 Rogers St
Ste 101
Columbia, MO 65201
Phone (573) 476-4134

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1639680333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 ROGERS ST STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 ROGERS ST STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014736",
            "telephone_number": "573-476-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSE TO HOME, LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SAMEERAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-639-0657"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.