Provider Demographics
NPI:1689120164
Name:SEMO OPTIONS INC
Entity Type:Organization
Organization Name:SEMO OPTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNITHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-243-7133
Mailing Address - Street 1:1404 OLD CAPE RD
Mailing Address - Street 2:STE 102
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-2332
Mailing Address - Country:US
Mailing Address - Phone:573-243-7133
Mailing Address - Fax:573-243-7743
Practice Address - Street 1:1404 OLD CAPE RD
Practice Address - Street 2:STE 102
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-2332
Practice Address - Country:US
Practice Address - Phone:573-243-7133
Practice Address - Fax:573-243-7743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1568586303Medicaid
MO1477609501Medicaid