Organization Active NPI

Elantis in-Home Health Care, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1063693604
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELANTIS IN-HOME HEALTH CARE, LLC
Practice address
1423 Golden Dr
Saint Louis, MO 63137-1553
Phone
(314) 388-9570
Fax
(314) 388-1421
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Ms. Lanecia Denise Moore
Title
Administrator
Phone
(314) 388-9570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1423 Golden Dr
Saint Louis, MO 63137-1553

Mailing address

1423 Golden Dr
Saint Louis, MO 63137-1553

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1063693604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 GOLDEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 GOLDEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371553",
            "telephone_number": "314-388-9570",
            "fax_number": "314-388-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANTIS IN-HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LANECIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-388-9570",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 26, 2007; 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.