Individual provider Active NPI

Chonda Marie Hall

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1194301929
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
2160 Crane Dr
Florissant, MO 63031-2616
Phone
(314) 498-0030
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X J200229025 MO
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2160 Crane Dr
Florissant, MO 63031-2616

Mailing address

2160 Crane Dr
Florissant, MO 63031-2616
Phone (314) 498-0030

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Info@threeheartshealthcare.com Health Information Exchange (HIE)
Direct Messaging Address Info@threeheartshealthcare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J200229025MOMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Three Hearts Healthcare, LLC Home Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: info@threeheartshealthcare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1194301929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 CRANE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312616",
            "telephone_number": "314-498-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 CRANE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312616",
            "telephone_number": "314-498-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHONDA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "J200229025",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@threeheartshealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2160 Crane Dr",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630312616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@threeheartshealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Info@threeheartshealthcare.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Three Hearts Healthcare LLC",
            "address_1": "2160 Crane Dr",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630312616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 22, 2021; 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.