Organization Active NPI

Procare Home Health LLC

  • Personal Care Attendant
  • Saint Louis, MO
National Provider Identifier
1477919652
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
PROCARE HOME HEALTH LLC
Practice address
1033 Corporate Square Dr
Ste 127
Saint Louis, MO 63132-2928
Phone
(314) 757-8517
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Tigre Smith, RN, BSN
Title
Owner
Phone
(314) 757-8517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1033 Corporate Square Dr
Ste 127
Saint Louis, MO 63132-2928

Mailing address

1033 Corporate Square Dr
Ste 127
Saint Louis, MO 63132-2928

National Provider Directory

National Provider Directory

Locations

1033 Corporate Square Dr
Ste 127
Saint Louis, MO 63132
Phone (314) 757-8517

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1477919652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CORPORATE SQUARE DR",
            "address_2": "STE 127",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CORPORATE SQUARE DR",
            "address_2": "STE 127",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322928",
            "telephone_number": "314-757-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIGRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-757-8517",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "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, 2016; 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.