Organization Active NPI

Vaughn Tenant Association

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1124738372
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VAUGHN TENANT ASSOCIATION
Practice address
1920 Cass Ave
Saint Louis, MO 63106-3251
Phone
(314) 486-0902
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Russell Houston
Title
Executive Director
Phone
(314) 421-4071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1920 Cass Ave
Saint Louis, MO 63106-3251

Mailing address

1920 Cass Ave
Saint Louis, MO 63106-3251
Phone (314) 486-0902

Other names 1

  • Bertha Gilkey Family Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1920 Cass Ave
Saint Louis, MO 63106
Phone (314) 486-0902

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1124738372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CASS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063251",
            "telephone_number": "314-486-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CASS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063251",
            "telephone_number": "314-486-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN TENANT ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-421-4071"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertha Gilkey Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.