Active NPI
Valerie Stewart
- Home Health Agency
- Bridgeton, MO
National Provider Identifier
1205487691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- LC001662927
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001662927 | MO | MD | Home Health Agency |
| LC001662927 | MO | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified in Home Care LLC | Home Health | Current | 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.