Organization Active NPI

Precious Gems in Home Care, LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1043867849
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRECIOUS GEMS IN HOME CARE, LLC
Practice address
9191 W Florissant Ave Ste 207B
Saint Louis, MO 63136-1424
Phone
(314) 695-5091
Fax
(314) 695-5482
NPI assigned
Aug 26, 2019
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Keita L Lattimore
Title
Owner/Member
Phone
(314) 695-5091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

9191 W Florissant Ave Ste 207B
Saint Louis, MO 63136-1424

Mailing address

9191 W Florissant Ave Ste 207B
Saint Louis, MO 63136-1424
Phone (314) 695-5091

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL preciousgemshomecare@gmail.com

National Provider Directory

National Provider Directory

Locations

9191 West Florissant Ave
Ste 207B
Saint Louis, MO 63136
Phone (314) 695-5091

9191 West Florissant Ave
Ste 209
Saint Louis, MO 63136
Phone (314) 688-3500

9191 West Florissant Ave
Ste 210
Saint Louis, MO 63136
Phone (314) 395-2440

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1043867849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE STE 207B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424",
            "telephone_number": "314-695-5091",
            "fax_number": "314-695-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE STE 207B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424",
            "telephone_number": "314-695-5091",
            "fax_number": "314-695-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS GEMS IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "KEITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "314-695-5091"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "preciousgemshomecare@gmail.com",
            "affiliation": "N",
            "address_1": "9191 W Florissant Ave Ste 207B",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631361424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 15, 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.