Home State Health Plan, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

HOME STATE HEALTH PLAN, INC.

Practice address

16090 Swingley Ridge Rd Ste 500
Chesterfield, MO 63017-6029

Phone

(636) 735-4667

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By 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

Ms. Beth Johnson

Title

Sr. Director, Medicare Operations

Phone

(636) 735-4667

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1205393790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16090 SWINGLEY RIDGE RD STE 500",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176029",
            "telephone_number": "636-735-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16090 SWINGLEY RIDGE RD STE 500",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176029",
            "telephone_number": "636-735-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME STATE HEALTH PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "SR. DIRECTOR, MEDICARE OPERATIONS",
        "authorized_official_telephone_number": "636-735-4667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Holobaugh, FNP
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• Mallory Rose Holzer, PA
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• Hope Springs Psychiatry

• Health Maintenance Organization in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.