Organization Active NPI

Secure Home Health Agency Inc.

  • Home Health Agency
  • Maryland Heights, MO
National Provider Identifier
1376046797
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
001009 Issued in MO
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

Updated by the provider on Aug 18, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.