Organization Active NPI

Best Life in Home LLC

  • Home Health Agency
  • Black Jack, MO
National Provider Identifier
1326639683
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEST LIFE IN HOME LLC
Practice address
4780 Trees Edge LN
Black Jack, MO 63033-4574
Phone
(314) 853-9312
NPI assigned
Jan 29, 2021
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Maurice Hendricks
Title
Exec Director
Phone
(314) 853-9312

Specialties & licenses 1

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

Addresses

Primary practice location

4780 Trees Edge LN
Black Jack, MO 63033-4574

Mailing address

4780 Trees Edge LN
Black Jack, MO 63033-4574
Phone (314) 853-9312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1326639683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 TREES EDGE LN",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334574",
            "telephone_number": "314-853-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 TREES EDGE LN",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334574",
            "telephone_number": "314-853-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LIFE IN HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "314-853-9312"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Jack, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.