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ST JUDE HOME CARE OF THE FOUR STATES LLC NPI 1710315437


NPI Information

NPI: 1710315437
Provider Name: ST JUDE HOME CARE OF THE FOUR STATES, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
501 S PENNSYLVANIA AVE
JOPLIN, MO
ZIP 64801
Phone: (417) 717-0594
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ST JUDE HOME CARE OF THE FOUR STATES, LLC is an in home supportive care in Joplin, MO. The provider is 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. ST JUDE HOME CARE OF THE FOUR STATES, LLC NPI is 1710315437. The provider is registered as an organization entity type.

The provider's business location address is:

501 S PENNSYLVANIA AVE
JOPLIN, MO
ZIP 64801-286
Phone: (417) 717-0594

The provider's authorized official is Corrie Joseph Gatlin .
The authorized official title is Sole Member and has the following contact phone number (417) 717-0594.

The enumeration date for this NPI number is 10/15/2013 and was last updated on 10/15/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

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: 4/28/2024

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