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HAVEN HOME CARE
NPI 1164971933
In Home Supportive Care in Ozark, MO

Active since September 22, 2016CLIA 26D2096910 · Waiver
850 N 25TH ST, OZARK, MO 65721(417) 581-1234(888) 844-7031 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Apr 13, 2022, Sep 22, 2016 (3 updates tracked since 2016).

About Haven Home Care NPPES

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

HAVEN HOME CARE (NPI 1164971933) is a healthcare organization registered as an in home supportive care in Ozark, Missouri and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists John Ross Ray, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164971933
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business Name417 HOME CARE LLC
Location Address850 N 25TH STOzark, MO 65721-8033
Mailing Address850 N 25th StOzark, MO 65721-8033 · (417) 581-1234 · Fax (888) 844-7031
Phone(417) 581-1234
Fax(888) 844-7031
Organization SubpartNo
Authorized OfficialJohn Ross RayCeo · (417) 496-5958
Enumeration DateSeptember 22, 2016
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1164971933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedHomemakerTaxonomy 376J00000X
Also ListedNurse's AideTaxonomy 376K00000X
850 N 25TH ST, Ozark, MO 65721
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Other Names 1

Doing Business AsHaven Home Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2096910

Haven Home Health LLC Dba Haven Hospice · Ozark, MO
Active · expires Jun 2, 2027
CLIA Number26D2096910
Laboratory TypeHospice
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorKimberly L. Therriault
Laboratory Phone(417) 581-1234
Laboratory LocationHaven Home Health LLC Dba Haven Hospice850 N 25th Street, Ozark, MO 65721
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREANNA CANTRELL
Occupational Therapist
850 N 25TH ST
OZARK, MO 65721
Christian County (417) 581-1234
HAVEN HOME HEALTH LLC
Hospice Care, Community Based
850 N 25TH ST
OZARK, MO 65721
Christian County (417) 581-1234
HAVEN HOME HEALTH, LLC
Home Health
850 N 25TH ST
OZARK, MO 65721
Christian County (417) 581-1234
MATTHEW SKALA OTR/L
Occupational Therapist
850 N 25TH ST
OZARK, MO 65721
Christian County (417) 459-0787
HAVEN PHYSICAL THERAPY LLC
Physical Therapist
850 N 25TH ST
OZARK, MO 65721
Christian County (417) 581-1234
FRONTIER PHARMACY LLC
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
850 N 25TH ST
OZARK, MO 65721
Christian County (417) 581-1234

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 417 Home Care LLC's NPI number?

The NPI number for 417 Home Care LLC is 1164971933. It was assigned to this organization in the NPPES registry on September 22, 2016. The provider is doing business as Haven Home Care.

Where is 417 Home Care LLC located?

417 Home Care LLC is located at 850 N 25th St, Ozark, MO 65721. The listed phone number is (417) 581-1234.

What is 417 Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does 417 Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2096910) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 417 Home Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list 417 Home Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 417 Home Care LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.