Organization Active NPI

Angel Heart Home Health Care LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1053765156
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGEL HEART HOME HEALTH CARE LLC
Practice address
14460 Fox Manor Dr
Florissant, MO 63034-2704
Phone
(314) 305-0034
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Gene Owens
Title
Owner
Phone
(314) 305-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14460 Fox Manor Dr
Florissant, MO 63034-2704

Mailing address

14460 Fox Manor Dr
Florissant, MO 63034-2704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1053765156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14460 FOX MANOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14460 FOX MANOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342704",
            "telephone_number": "314-305-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEART HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-305-0034"
    },
    "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 Apr 15, 2016; 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.