NPIMap

Organization Active NPI

SSM Home Care Private Duty

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1306974233
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NA Issued in NU
Legal business name
SSM HOME CARE PRIVATE DUTY
Practice address
4385 Maryland Ave
Saint Louis, MO 63108-2703
Phone
(314) 533-4107
Fax
(314) 533-0058
NPI assigned
Mar 1, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM HEALTH BUSINESSESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mike Topolski
Title
Vice President
Phone
(314) 989-2528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NA NU Primary

Addresses

Primary practice location

4385 Maryland Ave
Saint Louis, MO 63108-2703

Mailing address

10143 Paget Dr
Saint Louis, MO 63132-2915
Phone (314) 989-2524

Other identifiers 1

IdentifierTypeStateIssuer
947658605MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
SSM Home Care at St Francis Blue Island10 organizations share this tax ID, including this one
Part of
SSM Home Care at St Francis Blue Island

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1306974233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10143 PAGET DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322915",
            "telephone_number": "314-989-2524",
            "fax_number": "314-989-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082703",
            "telephone_number": "314-533-4107",
            "fax_number": "314-533-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HOME CARE PRIVATE DUTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM HEALTH BUSINESSES",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "TOPOLSKI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-989-2528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947658605",
            "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, 2007; 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.