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NPI Code Detail

MEDICARE: PLATTE RIVER HOME CARE, LLC

MEDICARE: PLATTE RIVER HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1710770078
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLATTE RIVER HOME CARE, LLC
Provider Business Mailing Address
First Line : 7 BEAVERFORK RD
Second Line :
City : CONWAY
State : AR
Zip : 72032-9517
Country : US
Telephone Number : 501-764-1814
Fax Number : 501-764-1913
Provider Business Practice Location Address
First Line : 1007 N JEFFERS ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-3028
Country : US
Telephone Number : 308-532-3960
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MS. HEATHER HENDERSON
Credential :
Telephone Number : 501-764-1814
Provider Enumeration Date : 05/28/2025
Last Update Date : 05/28/2025

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Directions to “PLATTE RIVER HOME CARE, LLC ” Practice Location

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