Provider Demographics
NPI:1649269671
Name:HEALTHCARE SYSTEMS INC.
Entity type:Organization
Organization Name:HEALTHCARE SYSTEMS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KARLOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:417-889-4357
Mailing Address - Street 1:1736 E SUNSHINE ST
Mailing Address - Street 2:SUITE 709
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1343
Mailing Address - Country:US
Mailing Address - Phone:417-887-2121
Mailing Address - Fax:417-882-3966
Practice Address - Street 1:1736 E SUNSHINE ST
Practice Address - Street 2:SUITE 709
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1343
Practice Address - Country:US
Practice Address - Phone:417-887-2121
Practice Address - Fax:417-882-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO435251E00000X
MO436251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO582640306Medicaid
MO946049400Medicaid
MO584653307Medicaid
MO266061506Medicaid
MO286061502Medicaid
MO00007432Medicaid
MO173317OtherBLUE CROSS BLUE SHIELD
MO946049400Medicaid