Odessa Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ODESSA HOME HEALTHCARE LLC

Doing business as

odessa health

Practice address

3867 Kentucky Derby Dr
Florissant, MO 63034-3326

Phone

(314) 749-3067

NPI assigned

Sep 22, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Trina Renee Wade, EMTP

Title

Operation Manager

Phone

(866) 681-7514

Specialties & licenses 1

Addresses

Other names 1

• odessa health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1013225192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 KENTUCKY DERBY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343326",
            "telephone_number": "314-749-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 KENTUCKY DERBY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343326",
            "telephone_number": "314-749-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "866-681-7514",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "odessa health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oasis Home Healthcare
• Cliffe Obanner
• Sandra E Obiebi
• Karen Obstein, PHARM.D.
• Oddessa Home Healthcare
• Justin O Ogbevoen, MD
• Samuel Adebayo Ogunmolawa
• Latoyria Oliphant
• Open Hands Consumer Directed Services, LLC
• Open Hearts Home Care Services, LLC

• Home Health Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.