Organization Active NPI

Home Remedy St. Louis LLC

  • Community/Behavioral Health Agency
  • Clayton, MO
National Provider Identifier
1346625167
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2014023114 Issued in MO
Legal business name
HOME REMEDY ST. LOUIS LLC
Practice address
7710 Carondelet Ave Ste 204
Clayton, MO 63105-3319
Phone
(314) 439-1005
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
David A Weinberg, MSW, LCSW
Title
Clinical Director
Phone
(314) 439-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2014023114 MO Primary

Addresses

Primary practice location

7710 Carondelet Ave Ste 204
Clayton, MO 63105-3319

Mailing address

7710 Carondelet Ave Ste 204
Clayton, MO 63105-3319
Phone (314) 439-1005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1346625167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 204",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-439-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 204",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-439-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME REMEDY ST. LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "314-439-1005",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2014023114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.