Active Angels in Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LCO762551 Issued in MO

Legal business name

ACTIVE ANGELS IN HOME HEALTH CARE LLC

Practice address

9191 W Florissant Ave
Suite 215
Saint Louis, MO 63136-1424

Phone

(314) 524-4200

Fax

(314) 524-4203

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Loretta Peters, STATE CERTIFIED

Title

Director(Owner)

Phone

(314) 524-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1437274073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE",
            "address_2": "SUITE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424",
            "telephone_number": "314-524-4200",
            "fax_number": "314-524-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE",
            "address_2": "SUITE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424",
            "telephone_number": "314-524-4200",
            "fax_number": "314-524-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ANGELS IN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LORETTA",
        "authorized_official_title_or_position": "DIRECTOR(OWNER)",
        "authorized_official_telephone_number": "314-524-4200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "STATE CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LCO762551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSBG  GR",
            "identifier": "0008897",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Saint Louis, MO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.