Organization Active NPI

Community in Home Care, LLC

Doing business as Chavera Home Care

  • In Home Supportive Care Agency
  • Billings, MO
National Provider Identifier
1679866388
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY IN HOME CARE, LLC
Doing business as
Chavera Home Care
Practice address
126 SW Oak St
Billings, MO 65610-8981
Phone
(417) 695-3016
NPI assigned
May 27, 2011
Last updated
Feb 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Mrs. Melanie Brooke Goulbourne
Title
Owner
Phone
(417) 695-3016

Specialties & licenses 1

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

Addresses

Primary practice location

126 SW Oak St
Billings, MO 65610-8981

Mailing address

126 SW Oak St
Billings, MO 65610-8981
Phone (417) 695-3016

Other names 1

  • Chavera Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1679866388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SW OAK ST",
            "city": "BILLINGS",
            "state": "MO",
            "postal_code": "656108981",
            "telephone_number": "417-695-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SW OAK ST",
            "city": "BILLINGS",
            "state": "MO",
            "postal_code": "656108981",
            "telephone_number": "417-695-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "GOULBOURNE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-695-3016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chavera Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.