Active NPI
Secure Home Health Agency Inc.
- Home Health Agency
- Maryland Heights, MO
National Provider Identifier
1376046797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 001009
- Legal business name
- SECURE HOME HEALTH AGENCY INC.
- Practice address
- 4 Sally Dr Rear
Maryland Heights, MO 63043-3416 - Phone
- (314) 733-5125
- Fax
- (314) 754-9767
- NPI assigned
- Mar 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marguerite Randall
- Title
- Ceo/Owner
- Phone
- (314) 733-5125
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 001009 | MO | Primary |
| Nursing Care Agency | 251J00000X | 13-39098-102 | MO | |
| In Home Supportive Care Agency | 253Z00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
4 Sally Dr Rear
Maryland Heights, MO 63043-3416
Mailing address
4 Sally Dr Rear
Maryland Heights, MO 63043-3416
Phone (314) 733-5125
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692316800000",
"number": "1376046797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SALLY DR REAR",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630433416",
"telephone_number": "314-733-5125",
"fax_number": "314-754-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SALLY DR REAR",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630433416",
"telephone_number": "314-733-5125",
"fax_number": "314-754-9767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECURE HOME HEALTH AGENCY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-12",
"last_updated": "2023-08-18",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "MARGUERITE",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "314-733-5125"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "001009",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MO",
"license": "13-39098-102",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryland Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.