NPIMap

Organization Active NPI

Home Care Nursing, Inc.

  • Nursing Care Agency
  • Farmington, MO
National Provider Identifier
1699845610
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
005434 Issued in MO
Legal business name
HOME CARE NURSING, INC.
Practice address
3370 Delassus Rd
Farmington, MO 63640-7001
Phone
(573) 747-1678
Fax
(573) 747-0583
NPI assigned
Nov 8, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Susan Lea Stotz, RN
Title
President
Phone
(573) 747-1678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 005434 MO Primary

Addresses

Primary practice location

3370 Delassus Rd
Farmington, MO 63640-7001

Mailing address

3370 Delassus Rd
Farmington, MO 63640-7001
Phone (573) 747-1678

Other identifiers 1

IdentifierTypeStateIssuer
005434MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Home Care Nursing Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3370 Delassus Rd
Farmington, MO 63640
Phone (573) 747-1678

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1699845610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 DELASSUS RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407001",
            "telephone_number": "573-747-1678",
            "fax_number": "573-747-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 DELASSUS RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407001",
            "telephone_number": "573-747-1678",
            "fax_number": "573-747-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "STOTZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-747-1678",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "005434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005434",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.