1-On-1 Home Care LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

1-ON-1 HOME CARE LLC

Practice address

10419 Crestwood Rd
Potosi, MO 63664-1695

Phone

(573) 436-4413

Fax

(573) 436-9039

NPI assigned

May 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brickey Lynn Coleman

Title

Owner

Phone

(573) 436-4413

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083668289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 CRESTWOOD RD",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641695",
            "telephone_number": "573-436-4413",
            "fax_number": "573-436-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10419 CRESTWOOD RD",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641695",
            "telephone_number": "573-436-4413",
            "fax_number": "573-436-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1-ON-1 HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BRICKEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-436-4413"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007665",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steffany Marie Ahlheim, FNP
• Air Evac EMS Inc (Air Evac Lifeteam)
• Kamal Akhtar, FNP
• David Orie Albert Sr., O.D.
• Patricia Louise Allen, APRN

• Public Health or Welfare Agency in Potosi, MO
• Providers in Potosi, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.