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MAGNIFICENT CARING HOME HEALTH
NPI 1740894013
Home Health in Black Jack, MO

Active since September 03, 2020
12215 WINTERSET DR, BLACK JACK, MO 63033(314) 629-7281(314) 699-4648 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2022, Sep 3, 2020 (2 updates tracked since 2020).

About Magnificent Caring Home Health NPPES

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

MAGNIFICENT CARING HOME HEALTH (NPI 1740894013) is a healthcare organization registered as a home health in Black Jack, Missouri and active in the NPI registry since September 2020. The organization lists Tamicka Nelson-bobo, Owner/ Director, as its authorized official.

NPPES Registry Identity

NPI1740894013
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAGNIFICENT CARING HOME HEALTH
Location Address12215 WINTERSET DRBlack Jack, MO 63033-7333
Mailing Address12215 Winterset DrBlack Jack, MO 63033-7333 · (314) 629-7281 · Fax (314) 699-4648
Phone(314) 629-7281
Fax(314) 699-4648
Organization SubpartNo
Authorized OfficialTamicka Nelson-boboOwner/ Director · (314) 629-7281
Enumeration DateSeptember 3, 2020
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1740894013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.

Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedDietary ManagerTaxonomy 132700000X
Also ListedMealsTaxonomy 174200000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedRespite CareTaxonomy 385H00000X
12215 WINTERSET DR, Black Jack, MO 63033
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Other Identifiers 1

Medicaid1740894013MO

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

Other Providers at the Same Location NPPES

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

TAMICKA NELSON- BOBO
Home Health
12215 WINTERSET DR
BLACK JACK, MO 63033
St. Louis County (314) 629-7281

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 Magnificent Caring Home Health's NPI number?

The NPI number for Magnificent Caring Home Health is 1740894013. It was assigned to this organization in the NPPES registry on September 3, 2020.

Where is Magnificent Caring Home Health located?

Magnificent Caring Home Health is located at 12215 Winterset Dr, Black Jack, MO 63033. The listed phone number is (314) 629-7281.

What is Magnificent Caring Home Health'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 Magnificent Caring Home Health was last updated on September 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.