Organization Active NPI

C & C Health Care LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1356989289
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
C & C HEALTH CARE LLC
Practice address
5261 Delmar Blvd Ste 309E
Saint Louis, MO 63108-1013
Phone
(314) 696-2396
Fax
(314) 696-2426
NPI assigned
Dec 10, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Curtis Boclair
Title
Executive Director
Phone
(314) 885-0709

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

5261 Delmar Blvd
Ste 309E
Saint Louis, MO 63108
Phone (314) 696-2396

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

5261 Delmar Blvd Ste 309E
Saint Louis, MO 63108-1013

Mailing address

5261 Delmar Blvd Ste 309E
Saint Louis, MO 63108-1013
Phone (314) 696-2396

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2019.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1356989289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 DELMAR BLVD STE 309E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081013",
            "telephone_number": "314-696-2396",
            "fax_number": "314-696-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 DELMAR BLVD STE 309E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081013",
            "telephone_number": "314-696-2396",
            "fax_number": "314-696-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "BOCLAIR",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-885-0709"
    },
    "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 Dec 10, 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.