Organization Active NPI

Preferred Residential Care LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1245798305
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREFERRED RESIDENTIAL CARE LLC
Practice address
4224 W San Francisco Ave
Saint Louis, MO 63115-2917
Phone
(314) 660-2890
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Sylvester L Williams, BUSINESSMAN
Title
Director
Phone
(314) 660-2890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4224 W San Francisco Ave
Saint Louis, MO 63115-2917

Mailing address

4224 W San Francisco Ave
Saint Louis, MO 63115-2917
Phone (314) 660-2890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1245798305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 W SAN FRANCISCO AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152917",
            "telephone_number": "314-660-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 W SAN FRANCISCO AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152917",
            "telephone_number": "314-660-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-660-2890",
        "authorized_official_credential": "BUSINESSMAN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Mar 7, 2019; 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.