CLINT THEBEAU NPI 1861979718

NPI Information

  • NPI: 1861979718
  • Provider Name: CLINT THEBEAU
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Individual
  • Address: 1276 W LIBERTY ST
    FARMINGTON, MO
    ZIP 63640
  • Phone: (573) 664-1722

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NPI Details

Clint Thebeau is an in home supportive care in Farmington, 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. Clint Thebeau NPI is 1861979718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1276 W LIBERTY ST
FARMINGTON, MO
ZIP 63640
Phone: (573) 664-1722

The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.

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 CareMISSOURIYes

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: 11/21/2025

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