HOME CARE ISL, LLC
NPI 1164799417
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fredericktown, MO

Active since November 30, 2011
1018 JOHNSON STREET, FREDERICKTOWN, MO 63645(573) 631-1456 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Home Care Isl, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOME CARE ISL, LLC (NPI 1164799417) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fredericktown, Missouri and active in the NPI registry since November 2011. The organization lists Susan Stotz, Director, as its authorized official.

NPPES Registry Identity

NPI1164799417
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHOME CARE ISL, LLC
Location Address1018 JOHNSON STREETFredericktown, MO 63645-0467
Mailing AddressPo Box 467, 1018 Johnson StreetFredericktown, MO 63645-0467
Organization SubpartNo
Authorized OfficialSusan StotzDirector · (573) 631-1456
Enumeration DateNovember 30, 2011
NPI 1164799417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1018 JOHNSON STREET, Fredericktown, MO 63645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Home Care Isl, LLC's NPI number?

The NPI number for Home Care Isl, LLC is 1164799417. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Home Care Isl, LLC located?

Home Care Isl, LLC is located at 1018 Johnson Street, Fredericktown, MO 63645. The listed phone number is (573) 631-1456.

What is Home Care Isl, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Home Care Isl, LLC was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.