Organization Active NPI

Flourish Home Health LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1154817104
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLOURISH HOME HEALTH LLC
Practice address
405 Albert Dr
Florissant, MO 63031-6321
Phone
(314) 359-4934
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Kydra Y Williams
Title
Owner
Phone
(314) 359-4934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

405 Albert Dr
Florissant, MO 63031-6321

Mailing address

11581 W Florissant Ave Ste 4
Florissant, MO 63033-6740
Phone (314) 359-4934

National Provider Directory

National Provider Directory

Locations

11581 West Florissant Ave
Ste 4
Florissant, MO 63033

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1154817104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11581 W FLORISSANT AVE STE 4",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336740",
            "telephone_number": "314-359-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ALBERT DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316321",
            "telephone_number": "314-359-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KYDRA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-359-4934"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.