JC'S Home Health Care Service, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

25E0000X-HOMW HEALTH Issued in MO

Legal business name

JC'S HOME HEALTH CARE SERVICE, INC

Practice address

1423 Chambers Rd
Saint Louis, MO 63135-2258

Phone

(314) 524-3738

Fax

(314) 524-3811

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Janice M Ward

Title

Administator

Phone

(314) 524-3738

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1447463484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CHAMBERS RD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63135",
            "telephone_number": "314-524-3738",
            "fax_number": "314-524-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHAMBERS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352258",
            "telephone_number": "314-524-3738",
            "fax_number": "314-524-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC'S HOME HEALTH CARE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "314-524-3738",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "25E0000X-HOMW HEALTH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263810004",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283810000",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855122701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.