Organization Active NPI

Homepointe Healthcare of Missouri LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1053669689
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMEPOINTE HEALTHCARE OF MISSOURI LLC
Practice address
1215 Fern Ridge Pkwy
Ste 107
Saint Louis, MO 63141-4401
Phone
(877) 744-6145
Fax
(260) 444-0006
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Mr. William J Swiss
Title
President
Phone
(260) 744-6145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

1215 Fern Ridge Pkwy
Ste 107
Saint Louis, MO 63141-4401

Mailing address

8515 Bluffton Rd
Fort Wayne, IN 46809-3022
Phone (260) 744-6145

Other identifiers 1

IdentifierTypeStateIssuer
506259902MedicaidMO

National Provider Directory

National Provider Directory

Locations

1215 Fern Ridge Pkwy
Ste 107
Saint Louis, MO 63141
Phone (314) 558-4303

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1053669689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093022",
            "telephone_number": "260-744-6145",
            "fax_number": "260-444-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 FERN RIDGE PKWY",
            "address_2": "STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631414401",
            "telephone_number": "877-744-6145",
            "fax_number": "260-444-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEPOINTE HEALTHCARE OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "SWISS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-744-6145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506259902",
            "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 Nov 5, 2013; 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.