XTRACOMFORT HOME HEALTH AGENCY, LLC (NPI# 1881252385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881252385 |
| Entity Type | Organization |
| Organization Name | XTRACOMFORT HOME HEALTH AGENCY, LLC |
| Practice Address |
6311 Evanston Ave Ste A Raytown MO 64133-4929 |
| Practice Telephone | 8163289304 |
| Mailing Telephone | 8163289304 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | ADEREMI MILLER (ADMINISTRATOR) |
| Authorized Official Telephone | 8163289304 |
| Authorized Official Credential | MBA, BSN, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1700253150 | 05 | |
| MO | 1952727273 | 05 |
| Street Address |
6311 EVANSTON AVE STE A |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134669369 | Elite Healthcare, LLC | Home Health | 6124 Blue Ridge Blvd # 114, Raytown, MO 64133-4148 | 2017-03-07 |
| 1285088062 | R K Matthews Investments Inc. | Home Health | 6222 Raytown Trfy, Suite 157, Raytown, MO 64133-3847 | 2016-04-19 |
| 1568715134 | Summit Health Care LLC | Home Health | 6033 Raytown Rd, Raytown, MO 64133-3909 | 2012-10-19 |
| 1871899450 | Guardian Angel Home Health Care,inc | Home Health | 6029 Raytown Rd, Raytown, MO 64133-3909 | 2011-01-31 |
| 1972792786 | Betty Jordan | Home Health | 6133 Kentucky Ave, Raytown, MO 64133-3747 | 2007-10-17 |
| 1801013917 | Cassandra Cheryl Shaver | Home Health | 8704 Evanston Ave, Raytown, MO 64138-4728 | 2007-04-19 |
| 1699896068 | Symphony Supports LLC | Home Health | 7801 Irwin Rd, Raytown, MO 64138-2562 | 2007-04-03 |
| 1508982752 | Side By Side II, Inc. | Home Health | 6612 Blue Ridge Blvd, Raytown, MO 64133-4847 | 2007-03-21 |
| 1487791984 | The Nesting Place,inc. | Home Health | 6528 Raytown Rd, Ste. I, Raytown, MO 64133-5057 | 2007-01-31 |
| 1194322602 | Show Me Love Health Care LLC | Home Health | 9508 E 57th St, Raytown, MO 64133-3205 | 2020-10-07 |
| Find all providers in RAYTOWN | ||||
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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.