Active NPI
Qualicare in- Home Health Services
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1508359415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- QUALICARE IN- HOME HEALTH SERVICES
- Practice address
- 4144 Lindell Blvd Ste 216
Saint Louis, MO 63108-2932 - Phone
- (314) 802-8860
- Fax
- (314) 802-8861
- NPI assigned
- Jun 14, 2018
- 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
- Tonja R Bonner
- Title
- Director
- Phone
- (314) 802-8860
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4144 Lindell Blvd Ste 216
Saint Louis, MO 63108-2932
Mailing address
4144 Lindell Blvd Ste 216
Saint Louis, MO 63108-2932
Phone (314) 802-8860
National Provider Directory
National Provider DirectoryLocations
4144 Lindell Blvd
Ste 216
Saint Louis, MO 63108
Phone (314) 802-8860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Saint Louis, MO
- NPI 1699293712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528934400000",
"number": "1508359415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4144 LINDELL BLVD STE 216",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082932",
"telephone_number": "314-802-8860",
"fax_number": "314-802-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 LINDELL BLVD STE 216",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082932",
"telephone_number": "314-802-8860",
"fax_number": "314-802-8861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALICARE IN- HOME HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A",
"authorized_official_last_name": "BONNER",
"authorized_official_first_name": "TONJA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-802-8860"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"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 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.