Aegis Homecare LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

AEGIS HOMECARE LLC

Practice address

2055 Craigshire Rd
Ste 420 F
St. Louis, MO 63146

Phone

(314) 933-4043

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Antoink M Mayfield, LPN

Title

Ceo

Phone

(314) 933-4043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1487314860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD",
            "address_2": "STE 420 F",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-933-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD",
            "address_2": "STE 420 F",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-933-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "ANTOINK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-933-4043",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.