MEDICARE: HOME CARE OF MID-MISSOURI

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1891645271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE OF MID-MISSOURI

Provider Business Mailing Address
First Line	:	33 E BROADWAY STE 120
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-4213
Country	:	US
Telephone Number	:	314-277-0989
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 E BROADWAY STE 120
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-4213
Country	:	US
Telephone Number	:	314-277-0989
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DORECTOR
Name	:	AFIFA YUSOF
Credential	:
Telephone Number	:	314-277-0989

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/10/2026

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