Active NPI
St Andrews at Home Services, LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1134476930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ST ANDREWS AT HOME SERVICES, LLC
- Practice address
- 6633 Delmar Blvd
Saint Louis, MO 63130-4505 - Phone
- (314) 726-5766
- Fax
- (314) 726-5719
- NPI assigned
- Aug 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann R Bannes, BA, MA, MA
- Title
- Vice President
- Phone
- (314) 802-2192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6633 Delmar Blvd
Saint Louis, MO 63130-4505
Mailing address
6633 Delmar Blvd
Saint Louis, MO 63130-4505
Phone (314) 726-5766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278880406 | Medicaid | MO |
Other names 1
- Senior Solutions
National Provider Directory
National Provider Directory- Tax ID family
- St Andrew'S at Home Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1043495583
-
- Home Health Agency
- Saint Louis, MO
- NPI 1629080189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344556800000",
"number": "1134476930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6633 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631304505",
"telephone_number": "314-726-5766",
"fax_number": "314-726-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6633 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631304505",
"telephone_number": "314-726-5766",
"fax_number": "314-726-5719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST ANDREWS AT HOME SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A",
"authorized_official_last_name": "BANNES",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "314-802-2192",
"authorized_official_credential": "BA, MA, MA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278880406",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Senior Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
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- St Anthony'S Physician Organization Private Practices LC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.