Queen Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

QUEEN HOME CARE, LLC

Practice address

4333 Manchester Ave
Saint Louis, MO 63110-2137

Phone

(314) 303-0433

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Mahmood AbosaraNPI 1548610090

Title

Director

Phone

(314) 303-0433

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Mahmood Abosara

  • Social Worker
  • Saint Louis, MO
  • NPI 1548610090
  NPD (past) Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1528598406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 MANCHESTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 MANCHESTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102137",
            "telephone_number": "314-303-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "ABOSARA",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-303-0433"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS TAX REGISTRATION - MO DEPARTMENT OF REVENUE",
            "identifier": "23380446",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarrett John Quas, PA-C
• Matthew Edward Quattrocki, PA
• Antonella Quattromani, M.D.
• Kimberly S Quayle, MD
• Benjamin O Quaynor, DDS
• Queen of Peace Center
• Queen of Peace Center
• Kevin L Queen, A.A.
• Lauren Deibel Queen, MA, LPC
• Queens Touch Health Care LLC

• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.