Nineveh Home Health Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NINEVEH HOME HEALTH SERVICES LLC

Doing business as

Nineveh Hospice

Practice address

920 1St Capitol Dr Ste 203&204
Saint Charles, MO 63301-2991

Phone

(314) 494-4203

NPI assigned

Aug 19, 2024

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Byron Depriest Lynum

Title

Owner

Phone

(314) 494-4203

Specialties & licenses 1

Addresses

Other names 1

• Nineveh Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437981305. Details of each certification follow.

• CCN 261715 Hospice · Active · Details

Hospice certification: CCN 261715

Legal name

NINEVEH HOME HEALTH SERVICES LLC

Doing business as

NINEVEH HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 10, 2025

Last certification

May 22, 2025

Organization structure

LLCProprietary

Enrollment address

920 1St Capitol Dr
Ste 203&204
Saint Charles, MO 63301-2991

Listed as

Nineveh HospiceCCN 261715 · All quality measures

Certified

Jun 10, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Andrew Scaduto, MD

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1659367704

  Contracted Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Doran, RN

  • Administrator Registered Nurse
  • Saint Charles, MO
  • NPI 1366229395
  NPD
• Andrew Scaduto, MD

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1659367704
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Thien-an Hoang, M.D

  • Family Medicine Physician
  • Lake St Louis, MO
  • NPI 1871792796

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1437981305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 COVENTRY TRAIL LN",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630435134",
            "telephone_number": "314-494-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 1ST CAPITOL DR STE 203&204",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012991",
            "telephone_number": "314-494-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINEVEH HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "LYNUM",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "DEPRIEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-494-4203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nineveh Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nineveh Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily C Nieters, DPT
• Nightingail Nurses
• Nikodem Dental Holdings, Inc. (Nikodem Dental St. Charles)
• Kathleen Miles Nikodym, PA
• Paul Andrew Nims
• No Place Like Home, CDS, LLC
• Christine Nolle
• Jaime Melissa Nolle, MA, LPC
• Karen Helen Nolte
• Christopher B Normile, MD

• Community Based Hospice Care Agency in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.