Organization Active NPI

Algonquin Nurses Home Health Care I, LLC

  • In Home Supportive Care Agency
  • St Louis, MO
National Provider Identifier
1083166516
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ALGONQUIN NURSES HOME HEALTH CARE I, LLC
Practice address
10135 Manchester Rd
Suite 102
St Louis, MO 63122-1559
Phone
(314) 822-8158
Fax
(314) 822-0952
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Mr. Stephen Anthony Tamboli
Title
Owner
Phone
(314) 822-8158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X MO
In Home Supportive Care Agency 253Z00000X MO Primary

Addresses

Primary practice location

10135 Manchester Rd
Suite 102
St Louis, MO 63122-1559

Mailing address

10135 Manchester Rd
Suite 102
St Louis, MO 63122-1559
Phone (314) 822-8158

National Provider Directory

National Provider Directory

Locations

10135 Manchester Rd
Saint Louis, MO 63122

10135 Manchester Rd
Ste 102
Saint Louis, MO 63122
Phone (314) 822-8158

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1083166516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 MANCHESTER RD",
            "address_2": "SUITE 102",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631221559",
            "telephone_number": "314-822-8158",
            "fax_number": "314-822-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 MANCHESTER RD",
            "address_2": "SUITE 102",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631221559",
            "telephone_number": "314-822-8158",
            "fax_number": "314-822-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALGONQUIN NURSES HOME HEALTH CARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "TAMBOLI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-822-8158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 27, 2024; 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.