Experienced in-Home Care & Assistance LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXPERIENCED IN-HOME CARE & ASSISTANCE LLC

Practice address

14824 Clayton Road
Suite 19
Chesterfield, MO 63017-7888

Phone

(636) 525-5445

Fax

(636) 525-5446

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Robin T Badwan

Title

Owner

Phone

(636) 525-5445

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Experienced In-Home Care & Assistance Doing business as

Locations

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1215528757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14824 CLAYTON ROAD",
            "address_2": "SUITE 19",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177888",
            "telephone_number": "636-525-5445",
            "fax_number": "636-525-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14824 CLAYTON ROAD",
            "address_2": "SUITE 19",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177888",
            "telephone_number": "636-525-5445",
            "fax_number": "636-525-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCED IN-HOME CARE & ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "BADWAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-525-5445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES IF  INCORPORATION",
            "identifier": "LC001704880",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Experienced In-Home Care & Assistance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.