Exquisite Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXQUISITE HOMECARE LLC

Practice address

1224 Washington Ave Apt 6a
Saint Louis, MO 63103-1969

Phone

(314) 477-7624

NPI assigned

Sep 20, 2020

Organization subpart

No

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

Authorized official

Name

Raelondo Quinn

Title

Manager

Phone

(314) 477-7624

Specialties & licenses 1

Addresses

Other names 1

• Exquisite Homecare LLC Former legal business name

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600560000000",
    "number": "1073129573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 WASHINGTON AVE APT 6A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031969",
            "telephone_number": "314-477-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 WASHINGTON AVE APT 6A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031969",
            "telephone_number": "314-477-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "RAELONDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-477-7624"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exquisite Homecare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.