Organization Active NPI

Discover Home Care

  • Home Health Agency
  • Fredericktown, MO
National Provider Identifier
1669942108
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 3, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.