Provider Demographics
NPI:1811020050
Name:N&CO HOMECARE LLC
Entity Type:Organization
Organization Name:N&CO HOMECARE LLC
Other - Org Name:HOMECARE OF MID MISSOURI HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-709-5881
Mailing Address - Street 1:102 WEST REED STREET
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-1555
Mailing Address - Country:US
Mailing Address - Phone:660-263-1517
Mailing Address - Fax:660-263-2737
Practice Address - Street 1:102 WEST REED STREET
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-1555
Practice Address - Country:US
Practice Address - Phone:660-263-1517
Practice Address - Fax:660-263-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
237405893OtherMERCY HEALTH PLANS
MO821684701Medicaid
MO32076OtherBLUE CHOICE
MO12938OtherBCBS
237405893OtherTRICARE