Organization Active NPI

Missouri Professional Health Services

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1154879724
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MISSOURI PROFESSIONAL HEALTH SERVICES
Practice address
100 S 4TH St Ste 550
Saint Louis, MO 63102-1897
Phone
(612) 644-0026
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Mohamed Warsame
Title
Owner
Phone
(612) 644-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 S 4TH St Ste 550
Saint Louis, MO 63102-1897

Mailing address

100 S 4TH St Ste 550
Saint Louis, MO 63102-1897

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1154879724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021897",
            "telephone_number": "612-644-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI PROFESSIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-644-0026"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.