Provider Demographics
NPI:1427178623
Name:ASSIST 4 HOMECARE, LLC
Entity Type:Organization
Organization Name:ASSIST 4 HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWDESHELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-524-9777
Mailing Address - Street 1:2813 SE BINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2478
Mailing Address - Country:US
Mailing Address - Phone:816-524-9777
Mailing Address - Fax:816-524-9777
Practice Address - Street 1:2813 SE BINGHAM DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2478
Practice Address - Country:US
Practice Address - Phone:816-524-9777
Practice Address - Fax:816-524-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0008922Medicaid
MO0008922Medicare ID - Type UnspecifiedSSBG GR IN-HOME CARE PROV