Organization Active NPI

Imperial Home Care, LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1467976118
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMPERIAL HOME CARE, LLC
Practice address
11674 Arroyo Dr
Florissant, MO 63033
Phone
(314) 222-9054
Fax
(314) 228-1817
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Tiauna Blue
Title
Director
Phone
(314) 764-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11674 Arroyo Dr
Florissant, MO 63033

Mailing address

11674 Arroyo Dr
Florissant, MO 63033-8111
Phone (314) 222-9054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467976118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11674 ARROYO DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630338111",
            "telephone_number": "314-222-9054",
            "fax_number": "314-228-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11674 ARROYO DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63033",
            "telephone_number": "314-222-9054",
            "fax_number": "314-228-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "TIAUNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-764-1555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.