Organization Active NPI

At Ease Home Care, Inc.

Doing business as ProvidentCare

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1255530465
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00478801 Issued in MO
Legal business name
AT EASE HOME CARE, INC.
Doing business as
ProvidentCare
Practice address
11500 Olive Blvd
Suite 176
Saint Louis, MO 63141-7143
Phone
(314) 531-5310
NPI assigned
Jul 17, 2007
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PROVIDENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dan Friedman
Title
Officer
Phone
(314) 351-3510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00478801 MO Primary
Home Infusion Agency 251F00000X 00478801 MO

Addresses

Primary practice location

11500 Olive Blvd
Suite 176
Saint Louis, MO 63141-7143

Mailing address

11500 Olive Blvd
Suite 176
Saint Louis, MO 63141-7143

Other identifiers 2

IdentifierTypeStateIssuer
265298901MedicaidMO
285298907MedicaidMO

Other names 1

  • ProvidentCare Doing business as

National Provider Directory

National Provider Directory
Part of
Provident Inc

Locations

11500 Olive Blvd
Ste 176
Saint Louis, MO 63141
Phone (314) 531-5310

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1255530465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 OLIVE BLVD",
            "address_2": "SUITE 176",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 OLIVE BLVD",
            "address_2": "SUITE 176",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417143",
            "telephone_number": "314-531-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT EASE HOME CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENT, INC.",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "314-351-3510"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "00478801",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MO",
            "license": "00478801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265298901",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285298907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProvidentCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2008; 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.