Organization Active NPI

P.C.S. Home Health Inc.

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1215529490
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
P.C.S. HOME HEALTH INC.
Practice address
1152 Shackelford Rd
Florissant, MO 63031-4369
Phone
(314) 388-1530
Fax
(314) 388-1550
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Brandon Kyle KilliebrewNPI 1982553004
Title
Oa
Phone
(314) 388-1530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1152 Shackelford Rd
Florissant, MO 63031-4369

Mailing address

3840 Silas Creek Dr
Florissant, MO 63034-1027
Phone (314) 388-1530

National Provider Directory

National Provider Directory

Locations

1152 Shackelford Rd
Florissant, MO 63031
Phone (314) 388-1530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1215529490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 SILAS CREEK DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341027",
            "telephone_number": "314-388-1530",
            "fax_number": "314-388-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 SHACKELFORD RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314369",
            "telephone_number": "314-388-1530",
            "fax_number": "314-388-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.C.S. HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "KILLIEBREW",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OA",
        "authorized_official_telephone_number": "314-388-1530"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 17, 2025; 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.