Organization Active NPI

JC Robinson Enterprise, LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1184255143
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JC ROBINSON ENTERPRISE, LLC
Practice address
41 Saint Anthony LN
Florissant, MO 63031-6720
Phone
(314) 459-2763
Fax
(314) 695-5271
NPI assigned
Jan 29, 2020
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Jerrell Demetri Robinson
Title
Executive Director
Phone
(314) 459-2763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

41 Saint Anthony LN
Florissant, MO 63031-6720

Mailing address

41 Saint Anthony LN
Florissant, MO 63031-6720
Phone (314) 459-2763

National Provider Directory

National Provider Directory

Locations

41 Saint Anthony Ln
Florissant, MO 63031
Phone (314) 459-2763

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1184255143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SAINT ANTHONY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316720",
            "telephone_number": "314-459-2763",
            "fax_number": "314-695-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SAINT ANTHONY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316720",
            "telephone_number": "314-459-2763",
            "fax_number": "314-695-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC ROBINSON ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JERRELL",
        "authorized_official_middle_name": "DEMETRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-459-2763"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2020; 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.