Organization Active NPI

Home Advantage Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Sikeston, MO
National Provider Identifier
1891727368
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
HOME ADVANTAGE INC
Practice address
731 N Main St
Sikeston, MO 63801-2151
Phone
(573) 471-1276
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Cliff Shirrell
Title
Vice President
Phone
(573) 471-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

731 N Main St
Sikeston, MO 63801-2151

Mailing address

731 N Main St
P.O. Box 1210
Sikeston, MO 63801-2151

Other identifiers 1

IdentifierTypeStateIssuer
628964801MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1891727368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N MAIN ST",
            "address_2": "P.O. BOX 1210",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012151",
            "telephone_number": "573-471-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ADVANTAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "SHIRRELL",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "573-471-1276"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628964801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.