Active NPI
Amarie'S Healthcare
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1245970870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMARIE'S HEALTHCARE
- Practice address
- 1916 Lucas Ave Apt 226
Saint Louis, MO 63103-1746 - Phone
- (314) 368-5638
- Fax
- (314) 720-9273
- NPI assigned
- Mar 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Regina Latrice Dickerson
- Title
- Executive Director
- Phone
- (314) 368-5638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1916 Lucas Ave Apt 226
Saint Louis, MO 63103-1746
Mailing address
1916 Lucas Ave Apt 226
Saint Louis, MO 63103-1746
Phone (314) 368-5638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3143687538 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1245970870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 LUCAS AVE APT 226",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031746",
"telephone_number": "314-368-5638",
"fax_number": "314-720-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 LUCAS AVE APT 226",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031746",
"telephone_number": "314-368-5638",
"fax_number": "314-720-9273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMARIE'S HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "LATRICE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "314-368-5638",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3143687538",
"state": "MO"
}
],
"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 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.