Ennovy Health at Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENNOVY HEALTH AT HOME LLC

Practice address

12645 Olive Blvd Ste 232
Creve Coeur, MO 63141-6692

Phone

(636) 875-3772

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Raquel N Jones

Title

Chief Executive Officer

Phone

(636) 875-3772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1427833862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 BELLINGHAM CIR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696963",
            "telephone_number": "636-875-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 OLIVE BLVD STE 232",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416692",
            "telephone_number": "636-875-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOVY HEALTH AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "636-875-3772"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Emanuel, M.D.
• Bryan Emerson, D.C.
• Daniel Patrick Emerson, M.D.
• Ashley Emge
• Astrid Edens Endsley, M.S., PLPC
• Lauren Erbs, OTR/L
• Thea Rae Ervin, M.S. ABA, BCBA, LBA
• Hannah Erwin
• Carole Ettinger, APRN-FNP
• Lisa S. Etzwiler, M.D.

• Home Health Agency in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.