Organization Active NPI

Nexus Homecare Network LLC.

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1114474905
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LC001492509 Issued in MO
Legal business name
NEXUS HOMECARE NETWORK LLC.
Practice address
4317 Bangor Dr
Florissant, MO 63034-3468
Phone
(314) 274-7113
Fax
(314) 584-2020
NPI assigned
Sep 8, 2016
Last updated
Sep 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Ms. Denise Harriett Kirby
Title
Director
Phone
(314) 274-7113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Agency 251E00000X LC001492509 MO Primary

Addresses

Primary practice location

4317 Bangor Dr
Florissant, MO 63034-3468

Mailing address

4317 Bangor Dr
Florissant, MO 63034-3468
Phone (314) 274-7113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1114474905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 BANGOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343468",
            "telephone_number": "314-274-7113",
            "fax_number": "314-584-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 BANGOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343468",
            "telephone_number": "314-274-7113",
            "fax_number": "314-584-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS HOMECARE NETWORK LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "HARRIETT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-274-7113",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001492509",
            "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 8, 2016; 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.