VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI, INC.
NPI 1205828183
Home Health in Kennett, MO

Q: What is Visiting Nurse Association Of Southeast Missouri, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since August 17, 2005CLIA 26D0442240 · Waiver

1124 INDEPENDENCE AVE, KENNETT, MO 63857(573) 888-5892(573) 888-0538 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 8, 2025, Jan 14, 2020, Oct 29, 2019 and 1 more (4 updates tracked since 2019).

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About Visiting Nurse Association Of Southeast Missouri, Inc. NPPES

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

VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI, INC. (NPI 1205828183) is a healthcare organization registered as a home health in Kennett, Missouri and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Shonda Hollomon Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205828183

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameVISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI, INC.

Location Address1124 INDEPENDENCE AVEKennett, MO 63857-1314

Mailing AddressPo Box 768Kennett, MO 63857-0768 · (573) 888-5892 · Fax (573) 888-0538

Phone(573) 888-5892

Fax(573) 888-0538

Organization SubpartNo

Authorized OfficialShonda Hollomon YoungCeo · (573) 888-5892

Enumeration DateAugust 17, 2005

Last NPPES UpdateJanuary 8, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1205828183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MO · 158-20

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1124 INDEPENDENCE AVE, Kennett, MO 63857

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Other Names 1

Doing Business AsVisiting Nurse Association Of Southeast Missouri, Inc.

Other Identifiers 1

Medicaid580620201MO

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 26D0442240

Visiting Nurse Association Of Southeast Missouri · Kennett, MO

Active · expires Aug 31, 2028

CLIA Number26D0442240

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorCinda Bryant

Laboratory Phone(573) 888-5892

Laboratory LocationVisiting Nurse Association Of Southeast Missouri1124 Independence Avenue, Kennett, MO 63857

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

SIDNE BURKE FNP-C

Nurse Practitioner (Family)