Organization Active NPI

Healthy Stages Inc

  • In Home Supportive Care Agency
  • Saint Charles, MO
National Provider Identifier
1225858079
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEALTHY STAGES INC
Practice address
3324 Rue Royale St Ste 106
Saint Charles, MO 63301-8321
Phone
(314) 714-1421
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Dormeshia Haire
Title
Owner, President
Phone
(314) 714-1421

Specialties & licenses 1

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

Addresses

Primary practice location

3324 Rue Royale St Ste 106
Saint Charles, MO 63301-8321

Mailing address

3676 Sweetwater Crossing PL
Saint Charles, MO 63301-4906

National Provider Directory

National Provider Directory

Locations

3324 Rue Royale St
Ste 106
Saint Charles, MO 63301
Phone (314) 714-1421

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1225858079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 SWEETWATER CROSSING PL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 RUE ROYALE ST STE 106",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018321",
            "telephone_number": "314-714-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY STAGES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "HAIRE",
        "authorized_official_first_name": "DORMESHIA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "314-714-1421"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.