Organization Active NPI

Regional Private Health Services Inc

  • Home Health Agency
  • Kahoka, MO
National Provider Identifier
1881753093
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REGIONAL PRIVATE HEALTH SERVICES INC
Practice address
RR 1 Box 16B
Kahoka, MO 63445-9650
Phone
(660) 727-9040
Fax
(660) 727-2620
NPI assigned
Dec 6, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Jennifer Dawson
Title
Owner
Phone
(319) 835-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO Primary

Addresses

Primary practice location

RR 1 Box 16B
Kahoka, MO 63445-9650

Mailing address

RR 1 Box 16B
Kahoka, MO 63445-9650
Phone (660) 727-9040

Other identifiers 2

IdentifierTypeStateIssuer
288851108MedicaidMO
268851102MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1881753093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 16B",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634459650",
            "telephone_number": "660-727-9040",
            "fax_number": "660-727-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 16B",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634459650",
            "telephone_number": "660-727-9040",
            "fax_number": "660-727-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PRIVATE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "13198353933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288851108",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268851102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahoka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.