Provider Demographics
NPI:1679903405
Name:SPECIALIZED HOMECARE LLC
Entity type:Organization
Organization Name:SPECIALIZED HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:TERMINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-792-0798
Mailing Address - Street 1:6 VICTORY DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-1974
Mailing Address - Country:US
Mailing Address - Phone:816-792-0798
Mailing Address - Fax:816-792-0838
Practice Address - Street 1:6 VICTORY DR
Practice Address - Street 2:SUITE 5
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1974
Practice Address - Country:US
Practice Address - Phone:816-792-0798
Practice Address - Fax:816-792-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLIC-10-13-32371251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health