Organization Active NPI

Divine Purpose Home Health Service LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1215712377
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE PURPOSE HOME HEALTH SERVICE LLC
Practice address
9426 Ridge Ave
Saint Louis, MO 63114-3920
Phone
(314) 357-4879
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Janet Buckner
Title
Ceo
Phone
(314) 357-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9426 Ridge Ave
Saint Louis, MO 63114-3920

Mailing address

9426 Ridge Ave
Saint Louis, MO 63114-3920
Phone (314) 357-4879

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1215712377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 RIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631143920",
            "telephone_number": "314-357-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 RIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631143920",
            "telephone_number": "314-357-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PURPOSE HOME HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-357-4879"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.