Organization Active NPI

Personalized Home Health Care Services

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1184254997
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSONALIZED HOME HEALTH CARE SERVICES
Practice address
3238 Parker Rd
Florissant, MO 63033-3733
Phone
(314) 741-4836
Fax
(770) 559-8792
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Anthony West
Title
Chief Operations Officer
Phone
(770) 559-7474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

3238 Parker Rd
Florissant, MO 63033-3733

Mailing address

3238 Parker Rd
Florissant, MO 63033-3733
Phone (770) 559-7474

Other identifiers 1

IdentifierTypeStateIssuer
1710398490MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Personalized Home Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1184254997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "770-559-7474",
            "fax_number": "770-559-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "314-741-4836",
            "fax_number": "770-559-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HOME HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "770-559-7474"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710398490",
            "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 Nov 3, 2022; 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.