Active NPI
Sustainable Home Health LLC
- In Home Supportive Care Agency
- Saint Louis, MO
National Provider Identifier
1487235081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SUSTAINABLE HOME HEALTH LLC
- Practice address
- 10649 Hallwood Dr
Saint Louis, MO 63136-5713 - Phone
- (314) 438-5825
- Fax
- (314) 438-5841
- NPI assigned
- Apr 16, 2021
- Organization subpart
- Yes
- Parent organization
- SUSTAINABLE HOME HEALTH II LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jahnae N Andre
- Title
- Owner
- Phone
- (314) 479-0913
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
10649 Hallwood Dr
Saint Louis, MO 63136-5713
Mailing address
10649 Hallwood Dr
Saint Louis, MO 63136-5713
National Provider Directory
National Provider Directory- Tax ID family
- Sustainable Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Saint Louis, MO
- NPI 1154055507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1487235081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10649 HALLWOOD DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631365713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10649 HALLWOOD DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631365713",
"telephone_number": "314-438-5825",
"fax_number": "314-438-5841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSTAINABLE HOME HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUSTAINABLE HOME HEALTH II LLC",
"enumeration_date": "2021-04-16",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A",
"authorized_official_last_name": "ANDRE",
"authorized_official_first_name": "JAHNAE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-479-0913"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"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 Jun 2, 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.