HOMECARE PROVIDERS GROUP LLC NPI 1629365754

NPI Information

NPI: 1629365754
Provider Name: HOMECARE PROVIDERS GROUP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5452 S PINEHURST AVE
SPRINGFIELD, MO
ZIP 65810
Phone: (417) 234-3868
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HOMECARE PROVIDERS GROUP LLC is a family nurse practitioner in Springfield, MO. HOMECARE PROVIDERS GROUP LLC NPI is 1629365754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5452 S PINEHURST AVE
SPRINGFIELD, MO
ZIP 65810-768
Phone: (417) 234-3868
Fax: (888) 511-3547

The provider's authorized official is Robert Kail .
The authorized official title is Manager and has the following contact phone number (417) 234-3868.

The enumeration date for this NPI number is 7/10/2011 and was last updated on 10/20/2011.

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
1	363LF0000X	Nurse Practitioner	Family	2000164718	MISSOURI	Yes

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
1	MA3550	OTHER	MISSOURI	MEDICARE PTAN

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: 11/14/2023

NPI Synchronization or Removal

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