OrganizationActive
Advanced Home Care, LLC
NPI 1104178177 · Homemaker · New Madrid, MO
Provider details
- NPI number
- 1104178177
- Entity type
- Organization
- Primary specialty
- HomemakerNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Dianne Ivy, Member(573) 748-5757
Specialties & taxonomies
Nursing Service Related Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Licensed Practical Nurse164W00000X
Nursing Service Providers
- Nurse's Aide376K00000X
Nursing Service Related Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
39 Villa Shopping Ctr
New Madrid, MO 63869-1230
Phone: (573) 748-5757
Fax: (573) 748-5382
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 487
New Madrid, MO 63869-0487
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.