Active NPI
Abundant Care in Home Services, LLC
- In Home Supportive Care Agency
- O Fallon, MO
National Provider Identifier
1487952875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ABUNDANT CARE IN HOME SERVICES, LLC
- Practice address
- 545 Sunshine Brook Dr
O Fallon, MO 63366-4964 - Phone
- (636) 856-8123
- Fax
- (636) 246-0026
- NPI assigned
- Mar 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cerrisa Patrice Whittier
- Title
- Owner
- Phone
- (314) 218-5126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
545 Sunshine Brook Dr
O Fallon, MO 63366-4964
Mailing address
545 Sunshine Brook Dr
O Fallon, MO 63366-4964
Phone (314) 218-5126
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1487952875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SUNSHINE BROOK DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633664964",
"telephone_number": "314-218-5126",
"fax_number": "636-246-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 SUNSHINE BROOK DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633664964",
"telephone_number": "636-856-8123",
"fax_number": "636-246-0026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT CARE IN HOME SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2016-05-05",
"status": "A",
"authorized_official_last_name": "WHITTIER",
"authorized_official_first_name": "CERRISA",
"authorized_official_middle_name": "PATRICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-218-5126",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.