Ageless Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGELESS HEALTH CARE INC

Practice address

11191 Landseer Dr
Saint Louis, MO 63136-5800

Phone

(314) 320-1080

Fax

(314) 752-4451

NPI assigned

Jan 6, 2017

Last updated

Jan 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmie Lee Watkins

Title

Director

Phone

(314) 320-1080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1164968756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 S GRAND BLVE 1ST FL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63111",
            "telephone_number": "314-320-1080",
            "fax_number": "314-752-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11191 LANDSEER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365800",
            "telephone_number": "314-320-1080",
            "fax_number": "314-752-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-320-1080"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Dean Agarwal, MSN, RN
• Mayank Agarwal, MD, MSE
• Shilpa M Agashe, MD
• Oresta Agastra, MD
• Tomilola Ayobami Agboola, MBBS
• Ankita Aggarwal, MD
• Katie Aggarwal, D.P.T.
• Manish Aggarwal, MD
• Sarthak Aggarwal, MD
• Sara Agha

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, 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 Jan 6, 2017; 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.