Active NPI
Phillips Professional Home Health Service
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1306060488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0003114
- Legal business name
- PHILLIPS PROFESSIONAL HOME HEALTH SERVICE
- Practice address
- 8456A Page Ave
Saint Louis, MO 63130-1055 - Phone
- (314) 423-9596
- Fax
- (314) 426-1678
- NPI assigned
- Apr 12, 2007
- 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. Pearl Frank
- Title
- Owner
- Phone
- (314) 423-9596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0003114 | MO | Primary |
Addresses
Primary practice location
8456A Page Ave
Saint Louis, MO 63130-1055
Mailing address
8456A Page Ave
Saint Louis, MO 63130-1055
Phone (314) 423-9596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268875609 | Medicaid | MO | |
| 288874605 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
8456A Page Ave
Saint Louis, MO 63130
Phone (314) 423-9596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1306060488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8456A PAGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631301055",
"telephone_number": "314-423-9596",
"fax_number": "314-426-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8456A PAGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631301055",
"telephone_number": "314-423-9596",
"fax_number": "314-426-1678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS PROFESSIONAL HOME HEALTH SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "PEARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-423-9596",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "0003114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268875609",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288874605",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Jennifer Ann Philips, MD
- Phillipmary Senior Health Services LLC
- Phillipmary Senior Services LLC
- Holly Nicole Phillippe, DO
- Rachel Phillips Barnidge, NURSE PRACTRIONER
- Phillips Professional Home Health Service
- Phillips Professional Home Health Service
- Nancy L. Phillips-Kuelker, LCSW
- Abigail Ann Phillips, DPT
- Abigail Louise Phillips, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.