LRT Professional Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LRT PROFESSIONAL HEALTH SERVICES INC

Practice address

602 Hunters Ridge Dr
Ferguson, MO 63135

Phone

(314) 521-1449

Fax

(315) 521-1569

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ladonia Payne Wikon, MA

Title

Director

Phone

(314) 521-1569

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265639090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 HUNTERS RIDGE DR",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "63135",
            "telephone_number": "314-521-1569",
            "fax_number": "315-521-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HUNTERS RIDGE DR",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "63135",
            "telephone_number": "314-521-1449",
            "fax_number": "315-521-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRT PROFESSIONAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIKON",
        "authorized_official_first_name": "LADONIA",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-521-1569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.