Organization Active NPI

Everybodys Home LLC

  • Home Health Agency
  • Gideon, MO
National Provider Identifier
1700478476
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERYBODYS HOME LLC
Doing business as
Everybodys Home LLC
Practice address
104 West Railroad Street
Gideon, MO 63848-6384
Phone
(573) 313-0300
NPI assigned
Feb 4, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Mr. Kip Dwayne White
Title
Owner/Partner
Phone
(573) 313-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

104 West Railroad Street
Gideon, MO 63848-6384

Mailing address

PO Box 355
Gideon, MO 63848-0355
Phone (573) 313-0300

Other identifiers 1

IdentifierTypeStateIssuer
85432311MedicaidMO

Other names 1

  • Everybodys Home LLC 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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1700478476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638480355",
            "telephone_number": "573-313-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST RAILROAD STREET",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638486384",
            "telephone_number": "573-313-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYBODYS HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KIP",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "573-313-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85432311",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everybodys Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gideon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.