NPIMap

Organization Active NPI

DK Home Healthcare, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1023655537
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DK HOME HEALTHCARE, LLC
Practice address
100 S 4TH St Ste 550
Saint Louis, MO 63102-1897
Phone
(314) 643-1861
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Ms. Felicia D. Williams
Title
President
Phone
(314) 282-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 S 4TH St Ste 550
Saint Louis, MO 63102-1897

Mailing address

PO Box 38828
Saint Louis, MO 63138-0828
Phone (314) 282-5888

Other practice location 1

3919 Washington Blvd
Saint Louis, MO 63108-3507
Phone (314) 282-5888

Other identifiers 1

IdentifierTypeStateIssuer
1730748120MedicaidMO

Other names 1

  • DK Home HealthCare, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DK Home Healthcare LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1023655537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38828",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631380828",
            "telephone_number": "314-282-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021897",
            "telephone_number": "314-643-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083507",
            "country_code": "US",
            "telephone_number": "314-282-5888",
            "fax_number": "314-801-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DK HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-282-5888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730748120",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DK Home HealthCare, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DK Home HealthCare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 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.