Homebound Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20080344880 Issued in MO

Legal business name

HOMEBOUND HEALTHCARE LLC

Practice address

1076 Stone Bluff Dr
Fenton, MO 63026-8515

Phone

(314) 438-5925

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Mohammed Ashraf, MD

Title

Manager

Phone

(314) 438-5925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1447492376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 STONE BLUFF DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630268515",
            "telephone_number": "314-438-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 STONE BLUFF DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630268515",
            "telephone_number": "314-438-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBOUND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "ASHRAF",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-438-5925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "20080344880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie L Hoehn Graves, NP-C
• Joni Beth Holley
• Michael Hollis, RBT
• Julia K Holzhausen, MA-CCC-SLP
• Home Medical Supply of Poplar Bluff, Inc.
• Cynthia Margaret Hood, OTR
• Kristen Althea Hood, LCSW
• Kelsey Marie Hope
• Brittian Horne
• Howard Park Early Intervention Center (AFA Academy)

• Family Medicine Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.