Individual provider Active NPI

Renai Myers

  • Home Health Agency
  • Saint James, MO
National Provider Identifier
1053907246
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
402 Opal St
Saint James, MO 65559-1154
Phone
(937) 374-9948
NPI assigned
Dec 12, 2020
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X VC887251 OH

Addresses

Primary practice location

402 Opal St
Saint James, MO 65559-1154

Mailing address

302 Meadow View LN
Wilmington, OH 45177-7540
Phone (937) 374-9948

Other practice location 1

302 Meadow View Ln
Wilmington, OH 45177-7540
Phone (937) 374-9948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VC887251OHMDDevelopmental Disabilities Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1053907246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEADOW VIEW LN",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451777540",
            "telephone_number": "937-374-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 OPAL ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591154",
            "telephone_number": "937-374-9948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Meadow View Ln",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451777540",
            "country_code": "US",
            "telephone_number": "937-374-9948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RENAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-12",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "OH",
            "license": "VC887251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.