Provider Demographics
NPI:1902162514
Name:BOKKER, INC.
Entity Type:Organization
Organization Name:BOKKER, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BOKKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-625-1868
Mailing Address - Street 1:705 ILLINOIS AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-5067
Mailing Address - Country:US
Mailing Address - Phone:417-625-1868
Mailing Address - Fax:417-625-1879
Practice Address - Street 1:705 ILLINOIS AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-5067
Practice Address - Country:US
Practice Address - Phone:417-625-1868
Practice Address - Fax:417-625-1879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCC1149647253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care