NPIMap

Organization Active NPI

Certified in Home Care LLC

  • In Home Supportive Care Agency
  • Bridgeton, MO
National Provider Identifier
1366093767
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CERTIFIED IN HOME CARE LLC
Practice address
12163 Bridgeton Square Dr
Bridgeton, MO 63044-2616
Phone
(314) 541-0448
Fax
(636) 757-3428
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Valerie StewartNPI 1205487691
Title
Director/ Owner
Phone
(314) 541-0448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12163 Bridgeton Square Dr
Bridgeton, MO 63044-2616

Mailing address

12163 Bridgeton Square Dr
Bridgeton, MO 63044-2616
Phone (314) 541-0448

National Provider Directory

National Provider Directory

Locations

12163 Bridgeton Square Dr
Bridgeton, MO 63044

3801 McKelvey Rd
Ste 101
Bridgeton, MO 63044
Phone (314) 541-0448

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1366093767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 BRIDGETON SQUARE DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442616",
            "telephone_number": "314-541-0448",
            "fax_number": "318-726-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12163 BRIDGETON SQUARE DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442616",
            "telephone_number": "314-541-0448",
            "fax_number": "636-757-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "314-541-0448"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.