Charity's Home Health Care Avency, Inc

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

00549535 Issued in MO

Legal business name

CHARITY'S HOME HEALTH CARE AVENCY, INC

Practice address

12405 Old Halls Ferry Road
Black Jack, MO 63033

Phone

(314) 438-1800

Fax

(314) 438-9943

NPI assigned

Nov 22, 2011

Last updated

Nov 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Coreline Mildred Brown

Title

Ceo

Phone

(314) 438-1800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1386911121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 OLD HALLS FERRY ROAD",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "63033",
            "telephone_number": "314-438-1800",
            "fax_number": "314-438-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 OLD HALLS FERRY ROAD",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "63033",
            "telephone_number": "314-438-1800",
            "fax_number": "314-438-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITY'S HOME HEALTH CARE AVENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CORELINE",
        "authorized_official_middle_name": "MILDRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-438-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": "00549535",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "00549535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veola Davis
• Delivering Love & Care Agency LLC

• Home Health Aide in Black Jack, MO
• Providers in Black Jack, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.