Enchanted Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENCHANTED HOME HEALTH LLC

Practice address

430 Chaparrall Creek Dr Apt 2611
Hazelwood, MO 63042-3959

Phone

(314) 662-1449

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Stanquicia Scott

Title

Owner

Phone

(314) 662-1449

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1447842240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CHAPARRALL CREEK DR APT 2611",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CHAPARRALL CREEK DR APT 2611",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423959",
            "telephone_number": "314-662-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STANQUICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-662-1449"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.