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417 Home Care LLC

In Home Supportive Care Agency in Ozark, MO · enumerated 2016 · authorized official John Ray, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164971933

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Registry record

Entity type Organization (Type 2)
Legal business name 417 Home Care LLC
Other name <Unavail>
Practice address 850 N 25th St, Ozark, MO, 65721
Fax (888) 844-7031
Enumeration date Sep 22, 2016
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

372500000X Chore Provider Nursing Service Related Providers Secondary
372600000X Adult Companion Nursing Service Related Providers Secondary
3747A0650X Attendant Care Provider Nursing Service Related Providers Secondary
3747P1801X Personal Care Attendant Nursing Service Related Providers Secondary
374U00000X Home Health Aide Nursing Service Related Providers Secondary
376J00000X Homemaker Nursing Service Related Providers Secondary
376K00000X Nurse's Aide Nursing Service Related Providers Secondary
253Z00000X In Home Supportive Care Agency Agencies Primary

Authorized official

Name John Ray
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 417 Home Care LLC?
NPPES lists John Ray (Ceo) as the authorized official for this organization.
What is the NPI number for 417 Home Care LLC?
The NPI for 417 Home Care LLC is 1164971933, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.