Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

417 Home Care LLC

Organization In Home Supportive Care Agency · NPI 1164971933

417 Home Care LLC is an In Home Supportive Care Agency in Ozark, Missouri. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

850 N 25th St
Ozark, MO 65721-8033
Phone: (417) 581-1234
Fax: (888) 844-7031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Chore Provider Taxonomy 372500000X
Adult Companion Taxonomy 372600000X
Attendant Care Provider Taxonomy 3747A0650X
Personal Care Attendant Taxonomy 3747P1801X
Home Health Aide Taxonomy 374U00000X
Homemaker Taxonomy 376J00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1164971933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ray — Ceo · (417) 496-5958
Other names Haven Home Care
NPI enumeratedSeptember 22, 2016
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023
Mailing address850 N 25th St, Ozark, MO 65721-8033

Other providers in Ozark