Proactive Home Care Missouri

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

PROACTIVE HOME CARE MISSOURI

Doing business as

Planned Wellness

Practice address

104B W Mount Vernon Blvd
Mount Vernon, MO 65712-1936

Phone

(417) 850-2013

Fax

(417) 855-2242

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Sadie K Musick

Title

Manager

Phone

(417) 380-3829

Specialties & licenses 1

Addresses

Other names 1

• Planned Wellness Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: sadie.musick@proactivehomecare.com

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1932758125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104B W MOUNT VERNON BLVD",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121936",
            "telephone_number": "417-850-2013",
            "fax_number": "417-855-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104B W MOUNT VERNON BLVD",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121936",
            "telephone_number": "417-850-2013",
            "fax_number": "417-855-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE HOME CARE MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "MUSICK",
        "authorized_official_first_name": "SADIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-380-3829",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sadie.musick@proactivehomecare.com",
            "affiliation": "N",
            "address_1": "104B W Mount Vernon Blvd",
            "city": "Mount Vernon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657121936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Planned Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Alan Pearson, M.S.W.
• Nancy Jane Phillips, APRN BC
• Tiffany Paige Pickthall, LMT
• Anne Frances Polasek, O.D.
• Ronald E. Price, DDS
• Michelle Rautio, PTA
• Regional Services (Coxhealth School Based Telemedicine)
• Janis Richmond, LCSW
• James Chad Rogers, OTA/ LIMITED PERMIT
• Katherine Ann Rooney, AU.D., CCC-A

• Case Manager/Care Coordinator in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Case Manager/Care Coordinator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.