Organization Active NPI

Daisy Grace Home Health Care LLC

  • Home Health Agency
  • Fenton, MO
National Provider Identifier
1104653500
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DAISY GRACE HOME HEALTH CARE LLC
Practice address
1710 Fenpark Dr Ste 451
Fenton, MO 63026-2920
Phone
(314) 359-7410
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Latoiya Graham
Title
Director
Phone
(314) 359-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1710 Fenpark Dr Ste 451
Fenton, MO 63026-2920

Mailing address

1710 Fenpark Dr Ste 451
Fenton, MO 63026-2920

National Provider Directory

National Provider Directory

Locations

1710 Fenpark Dr
Ste 451
Fenton, MO 63026
Phone (314) 359-7410

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1104653500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 FENPARK DR STE 451",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 FENPARK DR STE 451",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262920",
            "telephone_number": "314-359-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY GRACE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LATOIYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-359-7410"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.