Organization Active NPI

Reaching Out Private Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1205115953
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REACHING OUT PRIVATE CARE LLC
Practice address
9369 Olive Blvd
Ste 13
Saint Louis, MO 63132-3217
Phone
(314) 989-0677
Fax
(314) 983-0677
NPI assigned
Aug 12, 2011
Last updated
Aug 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Mrs. Gereen Taylor, CNA
Title
Executive Director
Phone
(314) 989-0677

Specialties & licenses 1

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

Addresses

Primary practice location

9369 Olive Blvd
Ste 13
Saint Louis, MO 63132-3217

Mailing address

9369 Olive Blvd
Ste 13
Saint Louis, MO 63132-3217
Phone (314) 989-0677

Other identifiers 1

IdentifierTypeStateIssuer
5843781999000MedicaidMO

National Provider Directory

National Provider Directory

Locations

9369 Olive Blvd
Ste 13
Saint Louis, MO 63132
Phone (314) 989-0677

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1205115953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9369 OLIVE BLVD",
            "address_2": "STE 13",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323217",
            "telephone_number": "314-989-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9369 OLIVE BLVD",
            "address_2": "STE 13",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323217",
            "telephone_number": "314-989-0677",
            "fax_number": "314-983-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING OUT PRIVATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GEREEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-989-0677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5843781999000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.