Organization Active NPI

Certified in Home Care Il, LLC

  • In Home Supportive Care Agency
  • Bridgeton, MO
National Provider Identifier
1184557530
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CERTIFIED IN HOME CARE IL, LLC
Practice address
12163 Bridgeton Square Dr Ofc a
Bridgeton, MO 63044-2616
Phone
(314) 541-0448
Fax
(318) 726-8530
NPI assigned
Jun 5, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Valerie D Stewart, STEWART
Title
Owner / Executive Director
Phone
(314) 541-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12163 Bridgeton Square Dr Ofc a
Bridgeton, MO 63044-2616

Mailing address

12163 Bridgeton Square Dr Ofc a
Bridgeton, MO 63044-2616
Phone (314) 541-0448

National Provider Directory

National Provider Directory
Tax ID family
Certified in Home Care Il LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12163 Bridgeton Square Dr
Ofc A
Bridgeton, MO 63044
Phone (314) 541-0448

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1184557530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 BRIDGETON SQUARE DR OFC A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442616",
            "telephone_number": "314-541-0448",
            "fax_number": "318-726-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12163 BRIDGETON SQUARE DR OFC A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442616",
            "telephone_number": "314-541-0448",
            "fax_number": "318-726-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED IN HOME CARE IL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-541-0448",
        "authorized_official_credential": "STEWART"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.