MEDICARE: BOOTHEEL IN-HOME CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	385H00000X	Respite Care
3	376K00000X	Nurse's Aide
4	376J00000X	Homemaker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588738561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOOTHEEL IN-HOME CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	311 MAIN ST
Second Line	:
City	:	NEW MADRID
State	:	MO
Zip	:	63869-1942
Country	:	US
Telephone Number	:	573-748-5905
Fax Number	:	573-748-5795

Provider Business Practice Location Address
First Line	:	311 MAIN ST
Second Line	:
City	:	NEW MADRID
State	:	MO
Zip	:	63869-1942
Country	:	US
Telephone Number	:	573-748-5905
Fax Number	:	573-748-5795

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. KATHEY G VERBECK
Credential	:
Telephone Number	:	618-616-7732

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/23/2023

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Directions to “BOOTHEEL IN-HOME CARE SERVICES, LLC ” Practice Location

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