Active NPI
Personalized Home Health Care Services
- In Home Supportive Care Agency
- Florissant, MO
National Provider Identifier
1184254997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Attendant Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710398490 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Personalized Home Health Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Florissant, MO
- NPI 1710398490
-
- In Home Supportive Care Agency
- Florissant, MO
- NPI 1265140198
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
- Persistent Consumer Directed Services, LLC
- Donna Marie Person, FNP
- Personal Care Plus LLC
- Personal Home Care Services, LLC
- Personalized Care, Consumer Direct Services, LC
- Personalized Home Health Care, LLC
- Personalized Homehealth Care Services
- Alberta Peters Herron, ARNP
- Golden Peters, PHARM.D
- Nicole Marie Petersen, PHARM.D.
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.