Organization Active NPI

Amanah Home Healthcare LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1265126783
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMANAH HOME HEALTHCARE LLC
Practice address
1712 S Tucker Blvd
Saint Louis, MO 63104-3427
Phone
(314) 390-2048
NPI assigned
Jun 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Lavarra McKeisha GuytonNPI 1043764376
Title
Owner
Phone
(314) 441-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1712 S Tucker Blvd
Saint Louis, MO 63104-3427

Mailing address

1712 S Tucker Blvd
Saint Louis, MO 63104-3427
Phone (314) 390-2048

National Provider Directory

National Provider Directory

Locations

1712 S Tucker Blvd
Saint Louis, MO 63104
Phone (314) 390-2048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1265126783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 S TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043427",
            "telephone_number": "314-390-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043427",
            "telephone_number": "314-390-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANAH HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "GUYTON",
        "authorized_official_first_name": "LAVARRA",
        "authorized_official_middle_name": "MCKEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-441-8070"
    },
    "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 Jun 7, 2023; 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.