Organization Active NPI

Mouna Health Care LLC

  • In Home Supportive Care Agency
  • Springfield, MO
National Provider Identifier
1861136582
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MOUNA HEALTH CARE LLC
Practice address
1301 S Glenstone Ave
Springfield, MO 65804-0301
Phone
(417) 894-6846
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Maimouna Cisse
Title
Owner
Phone
(417) 894-6846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1301 S Glenstone Ave
Springfield, MO 65804-0301

Mailing address

1301 S Glenstone Ave
Springfield, MO 65804-0301
Phone (417) 894-6846

National Provider Directory

National Provider Directory

Locations

1301 S Glenstone Ave
Springfield, MO 65804
Phone (417) 894-6846

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1861136582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S GLENSTONE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040301",
            "telephone_number": "417-894-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S GLENSTONE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040301",
            "telephone_number": "417-894-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "CISSE",
        "authorized_official_first_name": "MAIMOUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-894-6846"
    },
    "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 May 24, 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.

Verify at the official NPI Registry.