Healthcare Provider Details

I. General information

NPI: 1710155775
Provider Name (Legal Business Name): WORLDWIDE SENIOR HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 E MAIN ST
WILLOW SPRINGS MO
65793-1517
US

IV. Provider business mailing address

PO BOX 400
WILLOW SPRINGS MO
65793-1517
US

V. Phone/Fax

Practice location:
  • Phone: 417-469-5548
  • Fax: 417-469-0473
Mailing address:
  • Phone: 417-469-5548
  • Fax: 417-469-0473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MR. CURTIS EDWARD VENN
Title or Position: PARTNER
Credential:
Phone: 417-469-5548