Active NPI
Xtrordinary Healthcare LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1376295774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- XTRORDINARY HEALTHCARE LLC
- Practice address
- 2610 N 14TH Street
Saint Louis, MO 63106 - Phone
- (314) 728-2209
- NPI assigned
- Jan 26, 2022
- 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
- Vanita A McClendon
- Title
- Ceo
- Phone
- (314) 728-2209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2610 N 14TH Street
Saint Louis, MO 63106
Mailing address
3940 Palm Street
Saint Louis, MO 63107
Phone (314) 728-2209
National Provider Directory
National Provider DirectoryLocations
2610 N 14th St
Saint Louis, MO 63106
Phone (314) 728-2209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1376295774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 PALM STREET",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63107",
"telephone_number": "314-728-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 N 14TH STREET",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63106",
"telephone_number": "314-728-2209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XTRORDINARY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "MCCLENDON",
"authorized_official_first_name": "VANITA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-728-2209"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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 Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.