COMMUNITY WIDE IN HOME LLC (NPI# 1184892366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184892366 |
| Entity Type | Organization |
| Organization Name | COMMUNITY WIDE IN HOME LLC |
| Practice Address |
106 Lunbeck Street Gideon MO 63848 |
| Practice Telephone | 5734483297 |
| Practice Fax Number | 5734483297 |
| Mailing Telephone | 5734483297 |
| Mailing Fax Number | 5734483297 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | MR. TERRY DEAN DAVIS (PRESIDENT CEO) |
| Authorized Official Telephone | 5734483297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356519557 | Community Wide In Home LLC | Homemaker | 106 Lunbeck Ave, Gideon, MO 63848-9276 | 2008-02-11 |
| Street Address |
106 LUNBECK STREET |
| City | GIDEON |
| State | MO |
| Zip Code | 63848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346718418 | Gideon Pharmacy LLC | Pharmacy | 111 N Main St., Gideon, MO 63848 | 2018-11-07 |
| 1447381694 | Overturf Health Mart | Durable Medical Equipment & Medical Supplies | Hwy 162, Gideon, MO 63848 | 2007-03-08 |
| 1255992897 | Laurell A Conder | Nurse Practitioner | 100 Main St, Gideon, MO 63848 | 2019-06-25 |
| 1124518451 | Pemiscot County Memorial Hospital | Clinic/Center | 100 S Main Street, Gideon, MO 63848 | 2018-05-11 |
| 1225565948 | Tiffany Nelson | Nurse Practitioner | 100 North Main Street, Gideon, MO 63848 | 2017-05-12 |
| 1053702118 | Gideon Pharmacy LLC | Pharmacy | 111 Main Street, Gideon, MO 63848 | 2015-02-11 |
| 1700931458 | Super D Drugs Acquisition Co. | Pharmacy | 100 Main St, Gideon, MO 63848 | 2007-01-24 |
| 1518384429 | Liza Hartman | Occupational Therapist | 400 South Main St, Gideon, MO 63848-0227 | 2014-03-28 |
| 1043223282 | Steele Family Rural Health Clinic, LLC | Family Medicine | 100 Main Street, Gideon, MO 63848-3086 | 2006-08-15 |
| 1639500572 | Micah N. Breece | Speech-Language Pathologist | 400 N Main St, Gideon, MO 63848-9186 | 2013-12-03 |
| Find all providers in zip 63848 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275802 | Holly Marie Jackson | Technician | 448 W Cooper St, Tipton, MO 65081-8217 | 2020-11-04 |
| 1043819519 | Joice Westfall-hollingsworth | Technician | 3530 Greenwood Blvd Ste A, Maplewood, MO 63143-4211 | 2020-10-25 |
| 1952909798 | A 2nd Family LLC | Technician | 3507 Southern Hills Dr, Kansas City, MO 64137-2119 | 2020-10-14 |
| 1295343127 | Ardella Watkins | Technician | 3878 Hirondelle Ln, Florissant, MO 63034-2308 | 2020-07-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1386269769 | Bev Emery | Technician | 22820 Sw Hampton Ct, Blue Springs, MO 64015-9624 | 2020-06-11 |
| 1346870664 | Honor Cds LLC | Technician | 7918 Delmar Blvd # A, Saint Louis, MO 63130-3715 | 2020-01-26 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1265075600 | Lisa Gaye Adamson | Technician | 36 County Road 331, Poplar Bluff, MO 63901-5478 | 2019-10-17 |
| 1417508060 | Ca Home Health Care Services LLC | Technician | 2216 Normandy Dr, Saint Louis, MO 63121-4732 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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| 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.