Active NPI
Patient Care Professionals Inc
- Home Health Agency
- Ballwin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 267594
- Legal business name
- PATIENT CARE PROFESSIONALS INC
- Practice address
- 301 Sovereign CT
Suite 102
Ballwin, MO 63011-4441 - Phone
- (636) 227-0722
- Fax
- (636) 227-0730
- NPI assigned
- Aug 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Millie A Saeger
- Title
- Owner
- Phone
- (636) 227-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 267594 | MO | Primary |
Addresses
Primary practice location
301 Sovereign CT
Suite 102
Ballwin, MO 63011-4441
Mailing address
301 Sovereign CT
Suite 102
Ballwin, MO 63011-4441
Phone (636) 227-0722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 586217309 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050317000291 | MO | Part A Provider - Home Health Agency | 6709831274 | Practice locations: Ballwin, MO |
Home health agency certification: CCN 267594
- Legal name
- PATIENT CARE PROFESSIONALS INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 6, 2005
- Last certification
- Feb 5, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 9, 2005 in MO
- Enrollment address
- 301 Sovereign CT
102
Ballwin, MO 63011-4435
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Patient Care Professionals Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 6, 2005
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1040953 | Patient Care Professionals | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
301 Sovereign Ct
Ste 102
Ballwin, MO 63011
Phone (636) 227-0722
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Millie Alexis Saeger | 5% Or Greater Direct Ownership Interest | Feb 9, 2005 | 49% |
| Corporate Officer | Feb 9, 2005 | ||
| Corporate Director | Feb 9, 2005 | ||
| W-2 Managing Employee | Feb 9, 2005 | ||
| Cecil Howard Livesay | 5% Or Greater Direct Ownership Interest | Feb 9, 2005 | 51% |
| Corporate Officer | Feb 9, 2005 | ||
| Corporate Director | Feb 9, 2005 | ||
| W-2 Managing Employee | Feb 9, 2005 | ||
| Cari M Wetzel | W-2 Managing Employee | Oct 1, 2023 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1295728616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SOVEREIGN CT",
"address_2": "SUITE 102",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114441",
"telephone_number": "636-227-0722",
"fax_number": "636-227-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SOVEREIGN CT",
"address_2": "SUITE 102",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114441",
"telephone_number": "636-227-0722",
"fax_number": "636-227-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT CARE PROFESSIONALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "SAEGER",
"authorized_official_first_name": "MILLIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-227-2722",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "267594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "586217309",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.