Providence Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE HOME CARE LLC

Practice address

2400 E Business Loop 70
Columbia, MO 65201-5510

Phone

(573) 442-5950

Fax

(573) 442-5386

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed Elkomy

Title

Business Manager

Phone

(573) 442-5950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1649630732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E BUSINESS LOOP 70",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015510",
            "telephone_number": "573-442-5950",
            "fax_number": "573-442-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E BUSINESS LOOP 70",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015510",
            "telephone_number": "573-442-5950",
            "fax_number": "573-442-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ELKOMY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "573-442-5950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbia, MO
• Providers in Columbia, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.