NPIMap

Organization Active NPI

Private Nursing Service Inc.

  • In Home Supportive Care Agency
  • St. Louis, MO
National Provider Identifier
1073699732
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRIVATE NURSING SERVICE INC.
Practice address
9713 Gravois Rd
St. Louis, MO 63123-4346
Phone
(314) 544-2020
Fax
(314) 544-2645
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Pamela Sue Hicks
Title
President
Phone
(314) 544-2020

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MO
Home Health Agency 251E00000X MO
Supports Brokerage Agency 251X00000X MO
In Home Supportive Care Agency 253Z00000X MO Primary

Addresses

Primary practice location

9713 Gravois Rd
St. Louis, MO 63123-4346

Mailing address

9713 Gravois Rd.
St. Louis, MO 63123-4346
Phone (314) 544-2020

Other identifiers 1

IdentifierTypeStateIssuer
261896500MedicaidMO

Other names 1

  • Independent Nurses Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Independent Nurses4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1073699732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 GRAVOIS RD.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631234346",
            "telephone_number": "314-544-2020",
            "fax_number": "314-544-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 GRAVOIS RD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631234346",
            "telephone_number": "314-544-2020",
            "fax_number": "314-544-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE NURSING SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-544-2020"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261896500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Nurses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.