Promise Keepers Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMISE KEEPERS HOME HEALTH SERVICES, LLC

Practice address

62 Jost Villa Dr
Florissant, MO 63034-2270

Phone

(314) 393-5194

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Alisia Sherone Tipler

Title

Director

Phone

(314) 393-5194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1073156428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 JOST VILLA DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342270",
            "telephone_number": "314-393-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 JOST VILLA DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342270",
            "telephone_number": "314-393-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE KEEPERS HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "TIPLER",
        "authorized_official_first_name": "ALISIA",
        "authorized_official_middle_name": "SHERONE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-393-5194"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.