Organization Active NPI

Hcow- Healthcare on Wheels L.C.

  • In Home Supportive Care Agency
  • Springfield, MO
National Provider Identifier
1760225635
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jun 17, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.