Organization Active NPI

Corning Home Health Care LLC

  • Home Health Agency
  • Kirkwood, MO
National Provider Identifier
1033418306
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CORNING HOME HEALTH CARE LLC
Practice address
111 Prospect Ave
Suite 201a
Kirkwood, MO 63122-6052
Phone
(314) 965-2780
Fax
(314) 965-2782
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Authorized official

Name
Mrs. Szu Ching Fu
Title
Case Manager
Phone
(314) 965-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

111 Prospect Ave
Suite 201a
Kirkwood, MO 63122-6052

Mailing address

111 Prospect Ave
Suite 201a
Kirkwood, MO 63122-6052
Phone (314) 965-2780

Other identifiers 1

IdentifierTypeStateIssuer
251E00000XMedicaidMO

National Provider Directory

National Provider Directory

Locations

111 Prospect Ave
Ste 201A
Saint Louis, MO 63122
Phone (314) 965-2780

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1033418306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PROSPECT AVE",
            "address_2": "SUITE 201A",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226052",
            "telephone_number": "314-965-2780",
            "fax_number": "314-965-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROSPECT AVE",
            "address_2": "SUITE 201A",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226052",
            "telephone_number": "314-965-2780",
            "fax_number": "314-965-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNING HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "SZU CHING",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "314-965-2780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251E00000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.