Personalized Homehealth Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PERSONALIZED HOMEHEALTH CARE SERVICES

Practice address

3238 Parker Rd
Florissant, MO 63033-3733

Phone

(314) 741-4861

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Anthony West

Title

Manager

Phone

(314) 741-4861

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Personalized Home Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Personalized Home Health Care Services

  • In Home Supportive Care Agency
  • Florissant, MO
  • NPI 1184254997
  NPD tax ID
• Personalized Home Health Care, LLC

  • In Home Supportive Care Agency
  • Florissant, MO
  • NPI 1710398490
  NPD tax ID

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1265140198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "770-559-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "314-741-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HOMEHEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-741-4861"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M264888603",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.personalizedcareusa.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "3238 Parker Rd",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630333733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Personal Care Plus LLC
• Personal Home Care Services, LLC
• Personalized Care, Consumer Direct Services, LC
• Personalized Home Health Care Services
• Personalized Home Health Care, LLC
• Alberta Peters Herron, ARNP
• Golden Peters, PHARM.D
• Nicole Marie Petersen, PHARM.D.
• Todd J Petersen, PA-C
• Allison Elizabeth Pettibone, MSW, LMSW

• In Home Supportive Care Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.