Healthcare Provider Details

I. General information

NPI: 1730230319
Provider Name (Legal Business Name): CONTINUE CARE HOME MAKER SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 05/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 MATTHEWS AVE
SIKESTON MO
63801-3259
US

IV. Provider business mailing address

1008 N MAIN ST
SIKESTON MO
63801-5044
US

V. Phone/Fax

Practice location:
  • Phone: 573-471-1600
  • Fax: 573-472-5918
Mailing address:
  • Phone: 573-471-1600
  • Fax: 573-472-5918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARLES D ANCELL
Title or Position: CEO
Credential:
Phone: 573-471-1600