Active NPI
Endearing Home Services LLC
- In Home Supportive Care Agency
- O Fallon, IL
National Provider Identifier
1134708282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ENDEARING HOME SERVICES LLC
- Practice address
- 7008 Milburn Estates Dr
O Fallon, IL 62269-6998 - Phone
- (618) 670-8558
- NPI assigned
- Apr 6, 2021
- 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
- Jennifer Austin
- Title
- Owner
- Phone
- (618) 799-7314
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
7008 Milburn Estates Dr
O Fallon, IL 62269-6998
Mailing address
7008 Milburn Estates Dr
O Fallon, IL 62269-6998
Phone (618) 670-8558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220105001567 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688065451 | Practice locations: O Fallon, IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1134708282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 MILBURN ESTATES DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622696998",
"telephone_number": "618-670-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7008 MILBURN ESTATES DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622696998",
"telephone_number": "618-670-8558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDEARING HOME SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-06",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-799-7314"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.