Active NPI
Chonda Marie Hall
- Home Health Agency
- Florissant, MO
National Provider Identifier
1194301929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| J200229025 | MO | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Hearts Healthcare, LLC | Home Health | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Home Health Agency
- Clayton, MO
- NPI 1740948124
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.