Organization Active NPI

Under Grace Home Health Agency LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1477026110
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNDER GRACE HOME HEALTH AGENCY LLC
Practice address
9191 W Florissant Ave Ste 200B
Saint Louis, MO 63136-1424
Phone
(314) 391-9415
NPI assigned
Jan 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Tashauna Parker
Title
Director
Phone
(314) 391-9415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9191 W Florissant Ave Ste 200B
Saint Louis, MO 63136-1424

Mailing address

9191 W Florissant Ave Ste 200B
Saint Louis, MO 63136-1424

National Provider Directory

National Provider Directory
Tax ID family
Under Grace Home Health Agency LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9191 West Florissant Ave
Ste 200B
Saint Louis, MO 63136
Phone (314) 326-0552

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1477026110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE STE 200B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE STE 200B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424",
            "telephone_number": "314-391-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER GRACE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TASHAUNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-391-9415"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.