NPIMap

Organization Active NPI

Gideon Nursing Care Center Inc.

Doing business as Winchester Community In-Home Care

  • In Home Supportive Care Agency
  • Clarkton, MO
National Provider Identifier
1649607789
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
272662248 Issued in MO
Legal business name
GIDEON NURSING CARE CENTER INC.
Doing business as
Winchester Community In-Home Care
Practice address
702 N Main St
Clarkton, MO 63837-9105
Phone
(573) 448-4037
Fax
(573) 448-4035
NPI assigned
Oct 3, 2013
Last updated
Nov 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Tammy Loughary
Title
Agency Director
Phone
(573) 448-4037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 272662248 MO Primary

Addresses

Primary practice location

702 N Main St
Clarkton, MO 63837-9105

Mailing address

702 N Main St
Clarkton, MO 63837-9105
Phone (573) 448-4037

Other identifiers 1

IdentifierTypeStateIssuer
1336282656MedicaidMO

Other names 1

  • Winchester Community In-Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gideon Nursing Care Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1649607789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "CLARKTON",
            "state": "MO",
            "postal_code": "638379105",
            "telephone_number": "573-448-4037",
            "fax_number": "573-448-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "CLARKTON",
            "state": "MO",
            "postal_code": "638379105",
            "telephone_number": "573-448-4037",
            "fax_number": "573-448-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON NURSING CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "LOUGHARY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "573-448-4037"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "272662248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336282656",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchester Community In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.