Active NPI
Keyion Aaron Watts Sr.
- Home Health Agency
- Florissant, MO
National Provider Identifier
1033977897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1155 N Highway 67 St Ste a
Florissant, MO 63031-4701 - Phone
- (314) 313-6431
- NPI assigned
- Mar 7, 2024
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1155 N Highway 67 St Ste a
Florissant, MO 63031-4701
Mailing address
3825 Helmkampf Dr
Florissant, MO 63033-6540
Phone (314) 313-6431
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Light Home Health Care LLC | Home Health | Current | Accepting new patients |
Locations
1155 N Highway 67 St
Ste A
Florissant, MO 63031
Phone (314) 313-6431
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Florissant, MO
- NPI 1629836481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1033977897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 HELMKAMPF DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336540",
"telephone_number": "314-313-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N HIGHWAY 67 ST STE A",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630314701",
"telephone_number": "314-313-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "KEYION",
"middle_name": "AARON",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"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 Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.