Organization Active NPI

Oddessa Home Healthcare

Doing business as Oddessa Home Healthcare LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1215315163
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ODDESSA HOME HEALTHCARE
Doing business as
Oddessa Home Healthcare LLC
Practice address
2579 Millvalley Dr
Florissant, MO 63031-2865
Phone
(314) 749-3076
Fax
(314) 837-1324
NPI assigned
May 12, 2015
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Trina Renee Wade, EMTP
Title
Cheif Operation Officer
Phone
(314) 749-3076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO Primary
In Home Supportive Care Agency 253Z00000X MO

Addresses

Primary practice location

2579 Millvalley Dr
Florissant, MO 63031-2865

Mailing address

2579 Millvalley Dr
Florissant, MO 63031-2865
Phone (314) 749-3076

Other names 1

  • Oddessa Home Healthcare LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1215315163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 MILLVALLEY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312865",
            "telephone_number": "314-749-3076",
            "fax_number": "314-837-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 MILLVALLEY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312865",
            "telephone_number": "314-749-3076",
            "fax_number": "314-837-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODDESSA HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHEIF OPERATION OFFICER",
        "authorized_official_telephone_number": "314-749-3076",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oddessa Home Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 29, 2015; 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.