Health at Home II LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTH AT HOME II LLC

Practice address

1409 Washington Ave
Saint Louis, MO 63103-1905

Phone

(314) 662-0253

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Pernell Kenyatte Beasley

Title

Owner

Phone

(314) 662-0253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1497429377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 FOLSOM AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102611",
            "telephone_number": "314-662-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031905",
            "telephone_number": "314-662-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "PERNELL",
        "authorized_official_middle_name": "KENYATTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-662-0253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Saint Louis, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.