SGM Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SGM HOMECARE LLC

Practice address

11628 Old Ballas Rd Ste 310
Saint Louis, MO 63141-7030

Phone

(314) 669-1492

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Corrin Martin

Title

Ceo

Phone

(314) 669-1492

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1053183244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-669-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-669-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGM HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CORRIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-669-1492"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kristin Seymour, MSN, RN, APRN-BC
• Nahom Seyoum, MD
• Thangaiyan - Sezhiyan, M.D.
• Hannah Jean Sfreddo, MD
• Sga Properties LLC
• Ehsan Sha'Ban, MD
• Deena Samir Shaath, MD
• Ala Emad Khalid Shaban, MD
• Laroyce Marie Shabazz, RN
• Ruth Shach

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.