BETTY MCCULLEY
NPI 1508462391
Home Health in Black Jack, MO

Active since December 08, 2020
5344 TRAILVIEW DR, BLACK JACK, MO 63033(314) 309-7758 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Betty Mcculley NPPES

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

BETTY MCCULLEY (NPI 1508462391) is an individual home health provider in Black Jack, Missouri and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1508462391
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameBETTY MCCULLEY
Location Address5344 TRAILVIEW DRBlack Jack, MO 63033-4645
Mailing Address5344 Trailview DrBlack Jack, MO 63033-4645 · (314) 309-7758
Sole ProprietorYes
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1508462391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
5344 TRAILVIEW DR, Black Jack, MO 63033

Other Identifiers 1

Medicaid16982862MO

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 Betty Mcculley's NPI number?

The NPI number for Betty Mcculley is 1508462391. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Betty Mcculley located?

Betty Mcculley practices at 5344 Trailview Dr, Black Jack, MO 63033. The listed phone number is (314) 309-7758.

What is Betty Mcculley's specialty?

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

When was this NPI record last updated?

The NPPES record for Betty Mcculley was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.