Organization Active NPI

Missouri Veterans Healthcare Services LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1497617393
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MISSOURI VETERANS HEALTHCARE SERVICES LLC
Practice address
8616 Newby St
Saint Louis, MO 63147-1921
Phone
(314) 249-2642
NPI assigned
Nov 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Authorized official

Name
Antuan DiltzNPI 1013865997
Title
Manager
Phone
(314) 249-2642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8616 Newby St
Saint Louis, MO 63147-1921

Mailing address

8616 Newby St
Saint Louis, MO 63147-1921
Phone (314) 249-2642

National Provider Directory

National Provider Directory

Locations

8616 Newby St
Saint Louis, MO 63147
Phone (314) 249-2642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764374400000",
    "number": "1497617393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 NEWBY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471921",
            "telephone_number": "314-249-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 NEWBY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471921",
            "telephone_number": "314-249-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI VETERANS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A",
        "authorized_official_last_name": "DILTZ",
        "authorized_official_first_name": "ANTUAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-249-2642"
    },
    "taxonomies": [
        {
            "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 Nov 29, 2025; 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.