Organization Active NPI

Distinct Home Health LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1265207765
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DISTINCT HOME HEALTH LLC
Doing business as
Distinct Home Health LLC
Practice address
1124 Backer St
Saint Louis, MO 63130-1820
Phone
(314) 479-6769
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Muguan Simmons
Title
Owner
Phone
(314) 479-6769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1124 Backer St
Saint Louis, MO 63130-1820

Mailing address

1124 Backer St
Saint Louis, MO 63130-1820
Phone (314) 479-6769

Other names 1

  • Distinct Home Health LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1265207765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 BACKER ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301820",
            "telephone_number": "314-479-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BACKER ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301820",
            "telephone_number": "314-479-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCT HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MUGUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-479-6769"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinct Home Health LLC",
            "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 Nov 15, 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.