Sadie'S Caring Hearts

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SADIE'S CARING HEARTS

Practice address

15604 Brunswick Manor CT
Florissant, MO 63034-3471

Phone

(314) 920-7826

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Tawania M. Jackson, MSN, BSN, RN, CCMNPI 1780242024

Title

Owner

Phone

(314) 920-7826

Specialties & licenses 1

Addresses

Other names 2

• Sadie's Caring Hearts Doing business as
• Tawania Jackson DBA Sadie's Caring Hearts Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawania Jackson, MSN, BSN, RN, CCM

  • In Home Supportive Care Agency
  • Florissant, MO
  • NPI 1780242024

  In Home Supportive Care

  NPD (past) Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1154968600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 BRUNSWICK MANOR CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343471",
            "telephone_number": "314-920-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 BRUNSWICK MANOR CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343471",
            "telephone_number": "314-920-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADIE'S CARING HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAWANIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-920-7826",
        "authorized_official_credential": "MSN, BSN, RN, CCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sadie's Caring Hearts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tawania Jackson DBA Sadie's Caring Hearts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alvin Raye Sams, D.D.S

• All providers in Florissant, MO
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.