Organization Active NPI

Independent Living Home Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1336407766
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INDEPENDENT LIVING HOME CARE LLC
Practice address
1120 S 6TH St
Saint Louis, MO 63104-3602
Phone
(314) 588-7800
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Latisha Earl
Title
Ceo
Phone
(314) 588-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1120 S 6TH St
Saint Louis, MO 63104-3602

Mailing address

1120 S 6TH St
Saint Louis, MO 63104-3602
Phone (314) 588-7800

National Provider Directory

National Provider Directory

Locations

1120 S 6th St
Saint Louis, MO 63104
Phone (314) 588-7800

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1336407766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "314-588-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "314-588-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-588-7800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2012; 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.