Active NPI
Discover Home Care
- Home Health Agency
- Fredericktown, MO
National Provider Identifier
1669942108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DISCOVER HOME CARE
- Practice address
- 101 Kingsbury Blvd
Fredericktown, MO 63645-7959 - Phone
- (573) 747-5885
- NPI assigned
- Nov 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fernando Borrego
- Title
- Officer
- Phone
- (877) 881-1059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
101 Kingsbury Blvd
Fredericktown, MO 63645-7959
Mailing address
101 Kingsbury Blvd
Fredericktown, MO 63645-7959
Phone (573) 747-5885
National Provider Directory
National Provider DirectoryLocations
733 W Main St
Ste B
Fredericktown, MO 63645
Phone (573) 747-9703
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fredericktown, MO
- NPI 1407805732
-
- Nurse Practitioner
- Farmington, MO
- NPI 1366093312
-
- Family Medicine Physician
- Fredericktown, MO
- NPI 1063075752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606953600000",
"number": "1669942108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 KINGSBURY BLVD",
"city": "FREDERICKTOWN",
"state": "MO",
"postal_code": "636457959",
"telephone_number": "573-747-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 KINGSBURY BLVD",
"city": "FREDERICKTOWN",
"state": "MO",
"postal_code": "636457959",
"telephone_number": "573-747-5885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISCOVER HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-27",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A",
"authorized_official_last_name": "BORREGO",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "877-881-1059"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericktown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.