Kadosh Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KADOSH HOME HEALTH SERVICES, LLC

Practice address

16715 Heather Moor Dr
Florissant, MO 63034-3204

Phone

(618) 550-3502

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Ladon Johnson

Title

Executive Director

Phone

(618) 550-3502

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1144956749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16715 HEATHER MOOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343204",
            "telephone_number": "618-550-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 HEATHER MOOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343204",
            "telephone_number": "618-550-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADOSH HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LADON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-550-3502"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.