Ketch Cares, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0001732 Issued in MO

Legal business name

KETCH CARES, INC.

Doing business as

Adult Tendercare Center

Practice address

3729 N State Highway H
Springfield, MO 65803-7137

Phone

(417) 866-1559

Fax

(417) 866-3846

NPI assigned

Nov 20, 2006

Last updated

May 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Upton

Title

Director

Phone

(417) 866-1559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult Tendercare Center Doing business as

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1659445856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 N STATE HIGHWAY H",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658037137",
            "telephone_number": "417-866-1559",
            "fax_number": "417-720-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 N STATE HIGHWAY H",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658037137",
            "telephone_number": "417-866-1559",
            "fax_number": "417-866-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETCH CARES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "UPTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-866-1559"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "0001732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001732",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Tendercare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Tendercare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.