Personal Care Home Health SVCS., LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

251E00000X Issued in MO

Legal business name

PERSONAL CARE HOME HEALTH SVCS., LLC

Practice address

4142 Dr Martin Luther King Dr
Saint Louis, MO 63113

Phone

(314) 664-1100

Fax

(314) 664-1104

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Jacqueline Phillips

Title

Managing Member

Phone

(314) 664-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1285765701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 DR MARTIN LUTHER KING DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631132730",
            "telephone_number": "314-664-1100",
            "fax_number": "314-664-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 DR MARTIN LUTHER KING DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63113",
            "telephone_number": "314-664-1100",
            "fax_number": "314-664-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 N Taylor Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081831",
            "country_code": "US",
            "telephone_number": "314-534-3383",
            "fax_number": "314-534-3517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL CARE HOME HEALTH SVCS., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-664-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288280407",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268280401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Perschbacher, M.D.
• Patricia Pladson Perschbacher, M.D.
• Claire Ellen Pershing, PT, DPT, ATC
• Alyssa Person, MSW
• Olivia Grace Person, MD
• Personal Care Home Health SVCS., LLC
• Personal Home Care CDS, LLC
• Personal Potentials, Inc.
• Personal Senior Resources
• Personal Touch PCS LLC

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.