Active NPI
Missouri Professional Health Services
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1154879724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Missouri One Opco LLC
- Missouri Orthopedic & Arthroscopic Sugery, Inc.
- Missouri Physical Therapy LLC
- Missouri Physical Therapy Services of Creve Coeur, LLC
- Missouri Probation Supervision Services, Inc.
- Missouri Renal Medicine
- Missouri Residential Care LLC
- Missouri School for the Blind
- Missouri Spine Care, LLC
- Missouri Veterans Commission
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.