Healthcare Provider Details

I. General information

NPI: 1992678189
Provider Name (Legal Business Name): COMMUNITY IN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 SW OAK ST
BILLINGS MO
65610-8981
US

IV. Provider business mailing address

126 SW OAK ST
BILLINGS MO
65610-8981
US

V. Phone/Fax

Practice location:
  • Phone: 417-695-3016
  • Fax: 417-695-2236
Mailing address:
  • Phone: 417-695-3016
  • Fax: 417-695-2236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MELANIE BROOKE GOULBOURNE
Title or Position: CEO
Credential: RN
Phone: 417-342-3311