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ACADEMY HOME CARE SERVICES LLC NPI 1053974394


NPI Information

NPI: 1053974394
Provider Name: ACADEMY HOME CARE SERVICES, LLC
Classification: Chore Provider - 372500000X
Entity Type: Organization
Address:
355 OZARK TRAIL DR STE 2
ELLISVILLE, MO
ZIP 63011
Phone: (636) 527-1770
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ACADEMY HOME CARE SERVICES, LLC is a chore provider in Ellisville, MO. The provider is an individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. ACADEMY HOME CARE SERVICES, LLC NPI is 1053974394. The provider is registered as an organization entity type.

The provider's business location address is:

355 OZARK TRAIL DR STE 2
ELLISVILLE, MO
ZIP 63011-164
Phone: (636) 527-1770
Fax: (636) 527-1796

The provider's authorized official is Teresa Imboden .
The authorized official title is Human Resources Manager and has the following contact phone number (636) 527-1770.

The enumeration date for this NPI number is 4/22/2019 and was last updated on 4/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2372500000XChore ProviderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M266035500MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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