Active NPI
Kenneth Charles Hughes
- In Home Supportive Care Agency
- Florissant, MO
National Provider Identifier
1013576453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- LC001629541
- Practice address
- 1065 Mullanphy Rd
Florissant, MO 63031-3232 - Phone
- (314) 443-1490
- Fax
- (636) 395-7002
- NPI assigned
- Jun 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | LC001629541 | Primary |
Addresses
Primary practice location
1065 Mullanphy Rd
Florissant, MO 63031-3232
Mailing address
20 August Alp CT
Saint Charles, MO 63303-5302
Phone (314) 443-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1013576453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 AUGUST ALP CT",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035302",
"telephone_number": "314-443-1490",
"fax_number": "636-395-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 MULLANPHY RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630313232",
"telephone_number": "314-443-1490",
"fax_number": "636-395-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "KENNETH",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": "LC001629541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.