Organization Active NPI

Phillips Professional Home Health Service

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1306060488
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0003114 Issued in MO
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

Updated by the provider on Jul 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
268875609MedicaidMO
288874605MedicaidMO

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.