Organization Active NPI

Healing Hands Home Healthcare, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1396095089
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
193200000X Issued in MO
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

Updated by the provider on Sep 11, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.