Active NPI
Hcow- Healthcare on Wheels L.C.
- In Home Supportive Care Agency
- Springfield, MO
National Provider Identifier
1760225635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HCOW- HEALTHCARE ON WHEELS L.C.
- Practice address
- 2055 N Jefferson Ave
Springfield, MO 65803-2923 - Phone
- (314) 820-2650
- Fax
- (314) 820-2649
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crysta'L Olumichelle Omodehinde
- Title
- Owner
- Phone
- (314) 820-2650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2055 N Jefferson Ave
Springfield, MO 65803-2923
Mailing address
2055 N Jefferson Ave
Springfield, MO 65803-2923
Phone (314) 820-2650
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1760225635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 N JEFFERSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658032923",
"telephone_number": "314-820-2650",
"fax_number": "314-820-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N JEFFERSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658032923",
"telephone_number": "314-820-2650",
"fax_number": "314-820-2649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCOW- HEALTHCARE ON WHEELS L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "OMODEHINDE",
"authorized_official_first_name": "CRYSTA'L",
"authorized_official_middle_name": "OLUMICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-820-2650"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.