NPIMap

Organization Active NPI

Missouri in Home Services

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1013264191
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MISSOURI IN HOME SERVICES
Practice address
6746 Page Ave Ste 200
Saint Louis, MO 63133-1616
Phone
(314) 524-3958
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Hence Forland
Title
Owner
Phone
(314) 524-3958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6746 Page Ave Ste 200
Saint Louis, MO 63133-1616

Mailing address

6746 Page Ave Ste 200
Saint Louis, MO 63133-1616
Phone (314) 524-3958

National Provider Directory

National Provider Directory
Tax ID family
Missouri in Home Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1013264191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6746 PAGE AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331616",
            "telephone_number": "314-524-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6746 PAGE AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331616",
            "telephone_number": "314-524-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI IN HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "FORLAND",
        "authorized_official_first_name": "HENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-524-3958"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.