Organization Active NPI

Patient Care Professionals Inc

  • Home Health Agency
  • Ballwin, MO
National Provider Identifier
1295728616
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
267594 Issued in MO
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

Updated by the provider on May 22, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
586217309MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 267594
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 6, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1040953Patient Care Professionals301 Sovereign CT, Ste 102, Ballwin, MO 63011Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Millie Alexis Saeger Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Feb 9, 2005 49%
Corporate OfficerSecretary Feb 9, 2005
Corporate DirectorBoard Vice President Feb 9, 2005
W-2 Managing EmployeeAdministrator Feb 9, 2005
Cecil Howard Livesay Individual 5% Or Greater Direct Ownership Interest Feb 9, 2005 51%
Corporate OfficerPresident Feb 9, 2005
Corporate DirectorBoard President Feb 9, 2005
W-2 Managing EmployeePresident Feb 9, 2005
Cari M Wetzel Individual W-2 Managing EmployeeClinical Director 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

Verify at the official NPI Registry.