Provider Demographics
NPI:1992678189
Name:COMMUNITY IN HOME CARE
Entity type:Organization
Organization Name:COMMUNITY IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:GOULBOURNE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:417-342-3311
Mailing Address - Street 1:126 SW OAK ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65610-8981
Mailing Address - Country:US
Mailing Address - Phone:417-695-3016
Mailing Address - Fax:417-695-2236
Practice Address - Street 1:126 SW OAK ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MO
Practice Address - Zip Code:65610-8981
Practice Address - Country:US
Practice Address - Phone:417-695-3016
Practice Address - Fax:417-695-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty