Active NPI
Corning Home Health Care LLC
- Home Health Agency
- Kirkwood, MO
National Provider Identifier
1033418306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251E00000X | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
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.