Organization Active NPI

Bountiful Benevolence at Home We Care

  • Home Health Agency
  • Saint Peters, MO
National Provider Identifier
1184497968
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BOUNTIFUL BENEVOLENCE AT HOME WE CARE
Practice address
1000 Mid Rivers Mall Dr Ste B2
Saint Peters, MO 63376-2171
Phone
(636) 395-2361
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Ms. Tyren Cotton, CPC
Title
Owner/Manager
Phone
(636) 395-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1000 Mid Rivers Mall Dr Ste B2
Saint Peters, MO 63376-2171

Mailing address

500 Arbor Lane Dr
Saint Peters, MO 63376-7682
Phone (636) 395-2361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1184497968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARBOR LANE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767682",
            "telephone_number": "636-395-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MID RIVERS MALL DR STE B2",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762171",
            "telephone_number": "636-395-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL BENEVOLENCE AT HOME WE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "TYREN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "636-395-2361",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.