Individual provider Active NPI

Valerie Stewart

  • Home Health Agency
  • Bridgeton, MO
National Provider Identifier
1205487691
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LC001662927 Issued in MO
Practice address
3801 McKelvey Rd Ste 101
Bridgeton, MO 63044-4075
Phone
(314) 761-1732
Fax
(636) 757-3428
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 001662927 MO
Home Health Agency 251E00000X LC001662927 MO Primary

Addresses

Primary practice location

3801 McKelvey Rd Ste 101
Bridgeton, MO 63044-4075

Mailing address

3801 McKelvey Rd Ste 101
Bridgeton, MO 63044-4075
Phone (314) 761-1732

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
001662927MOMDHome Health Agency
LC001662927MOMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Certified in Home Care LLC Home Health CurrentSince Sep 29, 2019 Accepting new patients

Locations

3801 McKelvey Rd
Ste 101
Bridgeton, MO 63044
Phone (314) 541-0448

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1205487691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MCKELVEY RD STE 101",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630444075",
            "telephone_number": "314-761-1732",
            "fax_number": "636-757-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MCKELVEY RD STE 101",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630444075",
            "telephone_number": "314-761-1732",
            "fax_number": "636-757-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "001662927",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001662927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.