Organization Active NPI

La Wings Home Health Care II Inc

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1043448483
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00933247 Issued in MO
Legal business name
LA WINGS HOME HEALTH CARE II INC
Practice address
8907 Saint Charles Rock Rd
Saint Louis, MO 63114-4237
Phone
(314) 890-9060
Fax
(314) 890-9082
NPI assigned
Jun 24, 2009
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Ms. Lynetta Wings
Title
Director
Phone
(314) 890-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00933247 MO Primary

Addresses

Primary practice location

8907 Saint Charles Rock Rd
Saint Louis, MO 63114-4237

Mailing address

8907 Saint Charles Rock Rd
Saint Louis, MO 63114-4237
Phone (314) 890-9060

Other identifiers 2

IdentifierTypeStateIssuer
0009903MedicaidMO
374U00000XMedicaidMO

National Provider Directory

National Provider Directory

Locations

8907 Saint Charles Rock Rd
Saint Louis, MO 63114
Phone (314) 890-9060

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1043448483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144237",
            "telephone_number": "314-890-9060",
            "fax_number": "314-890-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144237",
            "telephone_number": "314-890-9060",
            "fax_number": "314-890-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA WINGS HOME HEALTH CARE II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "WINGS",
        "authorized_official_first_name": "LYNETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-890-9060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "00933247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009903",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374U00000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 24, 2010; 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.