Active NPI
Healing Hands Home Healthcare, LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1396095089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 193200000X
- Legal business name
- HEALING HANDS HOME HEALTHCARE, LLC
- Practice address
- 5854 Enright Ave
Saint Louis, MO 63112-2302 - Phone
- (314) 574-9560
- NPI assigned
- Sep 11, 2012
- 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
- Mr. Roderick Stuart Wilson Jr.
- Title
- Fireman
- Phone
- (314) 574-9560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 193200000X | MO | Primary |
Addresses
Primary practice location
5854 Enright Ave
Saint Louis, MO 63112-2302
Mailing address
2919 Oriental Dr
Florissant, MO 63031-1447
Phone (314) 541-9485
Other names 1
- Roderick Wilson
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347321600000",
"number": "1396095089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 ORIENTAL DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311447",
"telephone_number": "314-541-9485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5854 ENRIGHT AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631122302",
"telephone_number": "314-574-9560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HANDS HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "RODERICK",
"authorized_official_middle_name": "STUART",
"authorized_official_title_or_position": "FIREMAN",
"authorized_official_telephone_number": "314-574-9560",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "193200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Roderick Wilson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
- Malissa Healey
- Mullally Healey, M.A., LPC
- Healing Exchange LLC
- Healing From the Heart Home Health Care LLC
- Healing Hands CDS LLC
- Healing Hands Homecare and Counseling Services LLC
- Healing Hands Homecare and Sounseling Services LLC
- Healing Hands in Home Services, LLC
- Healing Heart Direct Service Consumer LLC
- Healing Hearts Trauma Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.