Active NPI
Denea Rochelle Conner
- Home Health Aide
- Florissant, MO
National Provider Identifier
1174132617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3445 Amblewood Dr
Florissant, MO 63033-3902 - Phone
- (314) 324-5404
- Fax
- (314) 475-5027
- NPI assigned
- Jul 30, 2020
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
3445 Amblewood Dr
Florissant, MO 63033-3902
Mailing address
3445 Amblewood Dr
Florissant, MO 63033-3902
Phone (314) 324-5404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528484524 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Compassion 1, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Florissant, MO
- NPI 1528484524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1174132617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 AMBLEWOOD DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630333902",
"telephone_number": "314-324-5404",
"fax_number": "314-475-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 AMBLEWOOD DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630333902",
"telephone_number": "314-324-5404",
"fax_number": "314-475-5027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "DENEA",
"middle_name": "ROCHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528484524",
"state": "MO"
}
],
"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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.