Tender Hands Adult Health Daycare

Primary specialty

Respite CareTaxonomy code 385H00000X

License

802 Issued in MO

Legal business name

TENDER HANDS ADULT HEALTH DAYCARE

Doing business as

House of Praise Church of God

Practice address

6500 Dunn Rd
Desloge, MO 63601-1539

Phone

(573) 431-5300

Fax

(573) 431-5300

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

HOUSE OF PRAISE CHURCH OF GODAs reported in NPPES

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

Authorized official

Name

Mr. William Wilbur Bousman Jr., REV

Title

Executive Director

Phone

(573) 431-5300

Specialties & licenses 1

Addresses

Other names 1

• House of Praise Church of God Doing business as

Part of

Tender Hands Adult Health Daycare

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1811124803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX 1539",
            "address_2": "6500 DUNN RD.",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636011539",
            "telephone_number": "573-431-5300",
            "fax_number": "573-431-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 DUNN RD",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636011539",
            "telephone_number": "573-431-5300",
            "fax_number": "573-431-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HANDS ADULT HEALTH DAYCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF PRAISE CHURCH OF GOD",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "BOUSMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WILBUR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-431-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "REV"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MO",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House of Praise Church of God",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in Desloge, MO
• Providers in Desloge, MO by specialty
• Respite Care in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.