Provider Demographics
NPI:1811029689
Name:BORKE HOME CARE
Entity Type:Organization
Organization Name:BORKE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BORKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-826-6439
Mailing Address - Street 1:27809 HACKBERRY DR
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-0559
Mailing Address - Country:US
Mailing Address - Phone:660-826-6439
Mailing Address - Fax:
Practice Address - Street 1:27809 HACKBERRY DR
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-0559
Practice Address - Country:US
Practice Address - Phone:660-826-6439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities