Organization Active NPI

Amarie'S Healthcare

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1245970870
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 31, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3143687538MedicaidMO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.