Active NPI
Rose M Boothe
- Homemaker
- Saint Louis, MO
National Provider Identifier
1285990119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 01151547
- Practice address
- 8650 Moran PL Ace
Saint Louis, MO 63114-4437 - Phone
- (314) 397-0905
- Fax
- (314) 222-3394
- NPI assigned
- Apr 4, 2012
- Last updated
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 01151547 | MO | |
| Homemaker | 376J00000X | 01151547 | MO | Primary |
Addresses
Primary practice location
8650 Moran PL Ace
Saint Louis, MO 63114-4437
Mailing address
8650 Moran PL
Saint Louis, MO 63114-4437
Phone (314) 397-0905
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01151547 | MO | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hatfill & Boothe Corp | Personal Care Attendant | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1285990119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8650 MORAN PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631144437",
"telephone_number": "314-397-0905",
"fax_number": "314-222-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 MORAN PL ACE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631144437",
"telephone_number": "314-397-0905",
"fax_number": "314-222-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTHE",
"first_name": "ROSE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MO",
"license": "01151547",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "MO",
"license": "01151547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.