Organization
417 HOME CARE LLC
Active
Other names
Haven Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROSS RAY (CEO)
(417) 496-5958
Entity
Organization
Contact information
Practice address
850 N 25TH ST, OZARK, MO 65721-8033
(417) 581-1234
(888) 844-7031
Mailing address
850 N 25TH ST, OZARK, MO 65721-8033
(417) 581-1234
(888) 844-7031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/22/2016
Last updated
03/07/2023
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