Organization Active NPI

Tonya Nicole Oliver

  • Home Health Agency
  • Hazelwood, MO
National Provider Identifier
1003109489
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 17, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.