Organization Active NPI

Crown of Glory Home Healthcare, LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1083197784
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CROWN OF GLORY HOME HEALTHCARE, LLC
Practice address
635 Saint Anthony LN
Florissant, MO 63033-5412
Phone
(314) 874-2446
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Eboney Dixon
Title
CDS Coordinator
Phone
(314) 874-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

635 Saint Anthony LN
Florissant, MO 63033-5412

Mailing address

635 Saint Anthony LN
Florissant, MO 63033-5412
Phone (314) 874-2446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1083197784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SAINT ANTHONY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335412",
            "telephone_number": "314-874-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SAINT ANTHONY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335412",
            "telephone_number": "314-874-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN OF GLORY HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "EBONEY",
        "authorized_official_title_or_position": "CDS COORDINATOR",
        "authorized_official_telephone_number": "314-874-2446"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.