Homeplace Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMEPLACE HEALTHCARE LLC

Practice address

13675 Evergreen Glen Dr
Saint Louis, MO 63128-4273

Phone

(410) 574-4955

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Oghenero OlomukoroNPI 1437899689

Title

Co-Director

Phone

(410) 574-4955

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oghenero Lucky Olomukoro, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alton, IL
  • NPI 1437899689
  NPD Authorized official

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1336700616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13675 EVERGREEN GLEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284273",
            "telephone_number": "410-574-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13675 EVERGREEN GLEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284273",
            "telephone_number": "410-574-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEPLACE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "OLOMUKORO",
        "authorized_official_first_name": "OGHENERO",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "410-574-4955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Is Where the Heart Is L.L.C.
• Home Medical Associates
• Home Suite Home Assisted Living LLC
• Home4Life Home Care L.C.
• Home4Life Home Care Solutions, LLC
• Homepointe Healthcare of Missouri LLC
• Homer G Phillips Memorial Hospital, Inc
• Homers Haven Home Care LLC
• Homes That Care Co.
• Tara Hommelson, CPNP

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.