Organization Active NPI

Johnsons Phenomenal Hands LLC

  • Home Health Aide
  • Saint Louis, MO
National Provider Identifier
1508504796
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
JOHNSONS PHENOMENAL HANDS LLC
Practice address
10757 Spring Garden Dr
Saint Louis, MO 63137-4534
Phone
(314) 471-1441
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Mrs. Joann Rena JohnsonNPI 1013587773
Title
Owner
Phone
(314) 471-1441

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

10757 Spring Garden Dr
Saint Louis, MO 63137-4534

Mailing address

10757 Spring Garden Dr
Saint Louis, MO 63137-4534
Phone (314) 471-1441

National Provider Directory

National Provider Directory
Tax ID family
Johnson'S Phenomenal Hands LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1508504796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10757 SPRING GARDEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631374534",
            "telephone_number": "314-471-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10757 SPRING GARDEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631374534",
            "telephone_number": "314-471-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONS PHENOMENAL HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-471-1441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "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 May 26, 2022; 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.