Organization Active NPI

Ray of Sunshine Individual Support Services LLC

  • Home Health Agency
  • Troy, MO
National Provider Identifier
1417733171
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RAY OF SUNSHINE INDIVIDUAL SUPPORT SERVICES LLC
Practice address
636 Meadowgreen Dr
Troy, MO 63379-7221
Phone
(314) 922-6423
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Latosha Bobo
Title
Owner
Phone
(314) 922-6423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

636 Meadowgreen Dr
Troy, MO 63379-7221

Mailing address

636 Meadowgreen Dr
Troy, MO 63379-7221
Phone (314) 922-6423

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1417733171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 MEADOWGREEN DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633797221",
            "telephone_number": "314-922-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 MEADOWGREEN DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633797221",
            "telephone_number": "314-922-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF SUNSHINE INDIVIDUAL SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-922-6423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.