Provider Demographics
NPI:1952781031
Name:AMERICAN PROVIDERS, INC.
Entity Type:Organization
Organization Name:AMERICAN PROVIDERS, INC.
Other - Org Name:AMERICAN IN HOME SERVICE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDA
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-996-2224
Mailing Address - Street 1:2056 RIPLEY 160E-2
Mailing Address - Street 2:
Mailing Address - City:DONIPHAN
Mailing Address - State:MO
Mailing Address - Zip Code:63935-7678
Mailing Address - Country:US
Mailing Address - Phone:573-996-2224
Mailing Address - Fax:573-996-2280
Practice Address - Street 1:2056 RIPLEY 160E-2
Practice Address - Street 2:
Practice Address - City:DONIPHAN
Practice Address - State:MO
Practice Address - Zip Code:63935-7678
Practice Address - Country:US
Practice Address - Phone:573-996-2224
Practice Address - Fax:573-996-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0007530253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO286063607Medicaid
MO266063601Medicaid
MO266063619Medicaid