Organization Active NPI

Latter Glory Home Care, Inc.

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1366808628
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LATTER GLORY HOME CARE, INC.
Practice address
3845 Woodcrest Dr
Florissant, MO 63033-4123
Phone
(314) 528-8560
Fax
(314) 837-3007
NPI assigned
Jan 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Mrs. Gretta D Reed
Title
President/Director/Owner
Phone
(314) 956-8101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3845 Woodcrest Dr
Florissant, MO 63033-4123

Mailing address

3845 Woodcrest Dr
Florissant, MO 63033-4123
Phone (314) 528-8560

Other identifiers 1

IdentifierTypeStateIssuer
0017583MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1366808628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 WOODCREST DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334123",
            "telephone_number": "314-528-8560",
            "fax_number": "314-837-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 WOODCREST DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334123",
            "telephone_number": "314-528-8560",
            "fax_number": "314-837-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATTER GLORY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-01",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "GRETTA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR/OWNER",
        "authorized_official_telephone_number": "314-956-8101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017583",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.