Keneishia Elijah

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

LC1370973 Issued in MO

Practice address

16720 Stone Creek CT
Florissant, MO 63034-1019

Phone

(314) 736-4275

Fax

(314) 260-6781

NPI assigned

Apr 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Essentials in Home Services LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
  • NPI 1649637885
  NPD Authorized official
• Living Essentials Home Care Services LLC

  • In Home Supportive Care Agency
  • Edwardsville, IL
  • NPI 1255292116
  NPD Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1144649591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16720 STONE CREEK CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341019",
            "telephone_number": "314-736-4275",
            "fax_number": "314-260-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16720 STONE CREEK CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341019",
            "telephone_number": "314-736-4275",
            "fax_number": "314-260-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIJAH",
        "first_name": "KENEISHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC1370973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha L Egbert, RPH
• Jessica Eilers
• Amira A El-Daibani, DMD
• Julie Elbl, PHARMD
• Eldercare of the Valley, Inc
• Donald G Elitt, DDS, MS
• Elliot I. Leon, DDS, PC
• Elliott Farberman M.D.,P.C.
• Frederick J Elliott
• Elms Consumer Directed Services LLC

• In Home Supportive Care Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.