Provider Demographics
NPI:1235707548
Name:CLAYTON'S HEARTFELT IN HOME CARE LLC
Entity Type:Organization
Organization Name:CLAYTON'S HEARTFELT IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-644-0032
Mailing Address - Street 1:400 S LUCAS ST
Mailing Address - Street 2:
Mailing Address - City:LOWRY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64763-9114
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 S LUCAS ST
Practice Address - Street 2:
Practice Address - City:LOWRY CITY
Practice Address - State:MO
Practice Address - Zip Code:64763-9114
Practice Address - Country:US
Practice Address - Phone:660-492-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLAYTON'S HEARTFELT IN HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-14
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health