New Season Home Health in Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW SEASON HOME HEALTH IN HOME LLC

Practice address

11520 Saint Charles Rock Rd Ste 102a
Bridgeton, MO 63044-2732

Phone

(314) 287-3628

Fax

(314) 778-3456

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Rochelle Sherrard

Title

Designated Manager

Phone

(314) 699-5607

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1235637422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486A HOLLENBERG DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442429",
            "telephone_number": "314-287-3628",
            "fax_number": "314-778-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SAINT CHARLES ROCK RD STE 102A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442732",
            "telephone_number": "314-287-3628",
            "fax_number": "314-778-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SEASON HOME HEALTH IN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "SHERRARD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "DESIGNATED MANAGER",
        "authorized_official_telephone_number": "314-699-5607",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16-9919891",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.