Provider Demographics
NPI:1053799338
Name:KEEPING GOOD COMPANY SENIOR CARE AT HOME, LLC
Entity type:Organization
Organization Name:KEEPING GOOD COMPANY SENIOR CARE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHILKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:573-864-6490
Mailing Address - Street 1:PO BOX 7771
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-7771
Mailing Address - Country:US
Mailing Address - Phone:573-445-0532
Mailing Address - Fax:573-445-0532
Practice Address - Street 1:7000 S SABINE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-9347
Practice Address - Country:US
Practice Address - Phone:573-445-0532
Practice Address - Fax:573-445-0532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC1337284253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care