Active NPI
Reeon Deedra Cook-Stalling
- In Home Supportive Care Agency
- Hazelwood, MO
National Provider Identifier
1275493801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 1766 Coachway LN # LM
Hazelwood, MO 63042-1378 - Phone
- (314) 489-2074
- NPI assigned
- Nov 17, 2025
- Last updated
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | MO | Primary |
Addresses
Primary practice location
1766 Coachway LN # LM
Hazelwood, MO 63042-1378
Mailing address
1766 Coachway LN # LM
Hazelwood, MO 63042-1378
Phone (314) 489-2074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1275493801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 COACHWAY LN # LM",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421378",
"telephone_number": "314-489-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1766 COACHWAY LN # LM",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421378",
"telephone_number": "314-489-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK-STALLING",
"first_name": "REEON",
"middle_name": "DEEDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazelwood, MO
- Compassionate Care Home Health Care LLC
- Comprehensive Nursing & Home Healthcare LLC
- Concentra Health Services, Inc.
- Concierge Counseling Services LLC (Concierge Counseling Services)
- Philip G Conway, MD
- Roderick Sampson Cooper, D.D.S.
- Matthew Larry Cooseman
- Richard E Copithorne Jr., DMD
- Catrece Cosby, LPN
- Kaitlyn Rae Cosby, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.