Active NPI
Southeast Hospital
- Home Health Agency
- Cape Girardeau, MO
National Provider Identifier
1790875664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 223-21
- Legal business name
- SOUTHEAST HOSPITAL
- Doing business as
- Southeast Home Health
- Practice address
- 1701 Lacey St
Cape Girardeau, MO 63701-5230 - Phone
- (573) 335-6609
- Fax
- (573) 335-5864
- NPI assigned
- Oct 13, 2006
- Organization subpart
- Yes
- Parent organization
- SOUTHEAST HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Julie Marie Woodruff, RN, BSN, MBA
- Title
- Home Care Services Administrator
- Phone
- (573) 335-6609
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 223-21 | MO | Primary |
Addresses
Primary practice location
1701 Lacey St
Cape Girardeau, MO 63701-5230
Mailing address
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 335-6609
Other names 1
- Southeast Home Health
National Provider Directory
National Provider Directory- Part of
- Southeast Mo Hospital
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1790875664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 LACEY ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015230",
"telephone_number": "573-335-6609",
"fax_number": "573-335-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 LACEY ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015230",
"telephone_number": "573-335-6609",
"fax_number": "573-335-5864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHEAST HOSPITAL",
"enumeration_date": "2006-10-13",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A",
"authorized_official_last_name": "WOODRUFF",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "HOME CARE SERVICES ADMINISTRATOR",
"authorized_official_telephone_number": "573-335-6609",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN, MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "223-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeast Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southeast Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.