Provider Demographics
NPI:1790213346
Name:POOH'S ALL IN ONE NURSING CARE.LLC
Entity type:Organization
Organization Name:POOH'S ALL IN ONE NURSING CARE.LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNBAR
Authorized Official - Suffix:
Authorized Official - Credentials:CMA-CNA
Authorized Official - Phone:816-514-0837
Mailing Address - Street 1:PO BOX 24761
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-0761
Mailing Address - Country:US
Mailing Address - Phone:816-514-0837
Mailing Address - Fax:
Practice Address - Street 1:808 E 100TH TER APT 206
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-5306
Practice Address - Country:US
Practice Address - Phone:816-363-5144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POOH'S ALL IN ONE NURSING CARE-LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-26
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2279H0200X
MO251E00000X, 251S00000X, 253Z00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1851856660Medicaid
MO1457888281Medicaid
MO15988374068Medicaid
MO1790213346Medicaid