NPIMap

Organization Active NPI

Bootheel Community Development Corporation

  • In Home Supportive Care Agency
  • New Madrid, MO
National Provider Identifier
1699314732
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BOOTHEEL COMMUNITY DEVELOPMENT CORPORATION
Practice address
6909 US Highway 61
New Madrid, MO 63869-9186
Phone
(573) 688-2512
NPI assigned
Jan 6, 2020
Last updated
Jan 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Mr. James McNeal
Title
Project Manager
Phone
(573) 688-2512

Specialties & licenses 1

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

Addresses

Primary practice location

6909 US Highway 61
New Madrid, MO 63869-9186

Mailing address

6909 US Highway 61
New Madrid, MO 63869-9186
Phone (573) 688-2512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1699314732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 US HIGHWAY 61",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638699186",
            "telephone_number": "573-688-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 US HIGHWAY 61",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638699186",
            "telephone_number": "573-688-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHEEL COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "573-688-2512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Madrid, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.