Active NPI
Christian Home Care LLC
- Custodial Care Facility
- Urbana, MO
National Provider Identifier
1730836701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- CHRISTIAN HOME CARE LLC
- Practice address
- 310 Walnut St
Urbana, MO 65767-9208 - Phone
- (417) 733-4162
- NPI assigned
- Mar 9, 2022
- Organization subpart
- Yes
- Parent organization
- CHRISTIAN HOME CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie P Heflin
- Title
- Owner
- Phone
- (800) 993-5141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Primary |
Addresses
Primary practice location
310 Walnut St
Urbana, MO 65767-9208
Mailing address
311 W Broadway St
Urbana, MO 65767-9101
Phone (800) 993-5141
Other practice location 1
311 W Broadway St
Urbana, MO 65767-9101
Phone (800) 993-5141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260003902 | Medicaid | MO |
Other names 1
- Urbana Group Home
National Provider Directory
National Provider Directory- Tax ID family
- Christian Home Care LLC
- Part of
- Christian Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Urbana, MO
- NPI 1760731053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1730836701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W BROADWAY ST",
"city": "URBANA",
"state": "MO",
"postal_code": "657679101",
"telephone_number": "800-993-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 WALNUT ST",
"city": "URBANA",
"state": "MO",
"postal_code": "657679208",
"telephone_number": "417-733-4162"
}
],
"practiceLocations": [
{
"address_1": "311 W Broadway St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "MO",
"postal_code": "657679101",
"country_code": "US",
"telephone_number": "800-993-5141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHRISTIAN HOME CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHRISTIAN HOME CARE LLC",
"enumeration_date": "2022-03-09",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "HEFLIN",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-993-5141"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260003902",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Urbana Group Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Urbana Group Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Urbana, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.