Adult Visionary in-Home Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ADULT VISIONARY IN-HOME SERVICES, INC.

Doing business as

none

Practice address

7220 N Lindbergh Blvd
Suite 220
Hazelwood, MO 63042-2019

Phone

(314) 656-1411

Fax

(314) 656-1540

NPI assigned

May 17, 2011

Last updated

Jul 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anita Louise Wilder

Title

Ceo

Phone

(314) 656-1411

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

Locations

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1194018697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD",
            "address_2": "SUITE 220",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "314-656-1411",
            "fax_number": "314-656-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD",
            "address_2": "SUITE 220",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "314-656-1411",
            "fax_number": "314-656-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT VISIONARY IN-HOME SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-656-1411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.