PROFESSIONAL IN-HOME CARE PROVIDER, LLC.


Address: 11740 Carolview Dr, Florissant, MO 63033
Phone: 3148032798

PROFESSIONAL IN-HOME CARE PROVIDER, LLC. (NPI# 1568798213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568798213
Entity Type Organization
Organization Name PROFESSIONAL IN-HOME CARE PROVIDER, LLC.
Practice Address 11740 Carolview Dr
Florissant
MO 63033
Mailing Address 1000 N Green Valley Pkwy # 440-657
Henderson
NV 89074-6170
Practice Telephone 3148032798
Mailing Telephone 3148032798
Enumeration Date 2009-10-29
Last Update Date 2018-08-16
Authorized Official Name ANTOINETTE MILLER (OWNER)
Authorized Official Telephone 3148032798
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171M00000X Case Manager/Care Coordinator Other Service Providers
Y 253Z00000X In Home Supportive Care Agencies

Office Location

Street Address 11740 CAROLVIEW DR
City FLORISSANT
State MO
Zip Code 63033

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NPI Name Taxonomy Address Enumeration
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1689153082 Sew St. Louis LLC Specialist 2172 N Waterford Dr, Florissant, MO 63033 2018-08-07
1508344706 Rekendra Farmer Home Health 3070 Kingsley Dr, Florissant, MO 63033 2018-07-31
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1245740265 Trusting Hands Home Health Services LLC Home Health 2430 Dresden Dr, Florissant, MO 63033 2017-10-04
1194243477 Betty Moore Registered Nurse 2875 Devonshire Dr, Florissant, MO 63033 2017-09-06
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729015 Nurturing Family Home Healthcare LLC In Home Supportive Care 805 5th Plz, Florissant, MO 63031-1820 2020-10-29
1902410434 Hope Care LLC In Home Supportive Care 3530 Hambletonian Dr, Florissant, MO 63033-3045 2020-09-02
1538778568 A Caring Touch Home Care LLC In Home Supportive Care 3836 Wolcott Ct, Florissant, MO 63034-1024 2020-07-27
1760001655 Intimate Care LLC In Home Supportive Care 4110 7 Hills Dr, Florissant, MO 63033-6708 2020-04-11
1194355156 Living Healthier Home Healthcare LLC In Home Supportive Care 1700 Woodridge Ln Apt B, Florissant, MO 63033-1916 2020-01-18
1649815226 Gs Health Care Services LLC In Home Supportive Care 1115 Garden Village Dr, Florissant, MO 63031-1963 2019-11-07
1154975944 Annoited Hands Home Care Services In Home Supportive Care 25 Elwood Ct, Florissant, MO 63031-6207 2019-07-30
1275187122 Axus Consumer Directed Services LLC In Home Supportive Care 4605 Richmond Forest Dr, Florissant, MO 63034-2848 2019-07-29
1013576453 Kenneth Charles Hughes In Home Supportive Care 1065 Mullanphy Rd, Florissant, MO 63031-3232 2019-06-10
1114586500 Phases of Care LLC In Home Supportive Care 100 Rue Saint Francois St Ste 106, Florissant, MO 63031-5131 2019-06-10
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Competitor

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City FLORISSANT
Zip Code 63033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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