| Organization Name: | AMERIPRIDE HOME CARE OF MISSOURI, INC |
| NPI Number: | 1184018525 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY L WRIGHT (PRESIDENT) |
| Mailing Address: | 1901 E Meadowmere St Springfield |
| State: | MO US |
| Postal Code: | 658040320 |
| Phone Number: | 4178894567 |
| Fax Number: | 4178893073 |
| NPI Enumeration Date: | 03/24/2015 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |