Organization · Type 2 NPI

Jeremiah's Journey

Home Health Agency · Columbia, MO

NPI number 1174867592 Active

Practice location

206 Austin Ave, D
Columbia, MO 65203-4066

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

Another provider at this address

El Tango, LLCClinical Social Worker Columbia, MO NPI 1548572118

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NPI record

NPI: 1174867592
Entity type: Organization (Type 2)
Issued: Nov 26, 2012
Last updated: Nov 26, 2012
Status: Active
Subpart: Yes of C.i.m Christ In Motion/columbia

Other names

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C.i.m Christ In Motion/columbia · other name

Authorized official

Raco Ann Marie Gates
Owner
(573) 864-9697

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174867592

Jeremiah's Journey's National Provider Identifier is 1174867592, issued on Nov 26, 2012. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Columbia, MO. The record was last updated on Nov 26, 2012.