Organization Active NPI

Xtrordinary Healthcare LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1376295774
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 26, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.