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Contact Information

ACADEMY HOME CARE SERVICES, LLC
355 OZARK TRAIL DR STE 2
ELLISVILLE, MO63011-2164
 Phone: 636-527-1770
 Fax: 636-527-1796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chore Provider

372500000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for ACADEMY HOME CARE SERVICES, LLC

NPI Number 1053974394
LBN Legal business name ACADEMY HOME CARE SERVICES, LLC
Authorized official TERESA IMBODEN - (HUMAN RESOURCES MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/22/2019
Last updated 04/26/2019 - About 7 years ago
Identifiers
MO Medicaid M266035500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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