Active NPI
Tonya Nicole Oliver
- Home Health Agency
- Hazelwood, MO
National Provider Identifier
1003109489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TONYA NICOLE OLIVER
- Practice address
- 5494 Brown Road
Suite 111
Hazelwood, MO 63042 - Phone
- (314) 731-7107
- Fax
- (314) 731-7812
- NPI assigned
- May 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Nicole Oliver
- Title
- Executive Director
- Phone
- (314) 614-8702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MO | Primary |
Addresses
Primary practice location
5494 Brown Road
Suite 111
Hazelwood, MO 63042
Mailing address
5494 Brown Road
Suite 111
Hazelwood, MO 63042
Phone (314) 731-7107
National Provider Directory
National Provider DirectoryLocations
5494 Brown Rd
Ste 111
Hazelwood, MO 63042
Phone (314) 731-7107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1003109489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5494 BROWN ROAD",
"address_2": "SUITE 111",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "63042",
"telephone_number": "314-731-7107",
"fax_number": "314-731-7812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5494 BROWN ROAD",
"address_2": "SUITE 111",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "63042",
"telephone_number": "314-731-7107",
"fax_number": "314-731-7812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONYA NICOLE OLIVER",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "314-614-8702"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.