Breeze Hospice of Missouri, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BREEZE HOSPICE OF MISSOURI, LLC

Practice address

3535 S Jefferson Ave
Suite 118
Saint Louis, MO 63118-3930

Phone

(314) 833-3180

Fax

(314) 833-3179

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kulsoom Fatima Junaid, M.D.NPI 1497827968

Title

Administrator

Phone

(314) 922-2662

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Serenity Hospice, LLC

  • Community Based Hospice Care Agency
  • Chesterfield, MO
  • NPI 1194478172

  Sold to, 2022-03-10

  CMS change of ownership

Practitioners 1

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

• Kulsoom Fatima Junaid, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1497827968
  NPD Authorized official

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1538537816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "SUITE 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-833-3180",
            "fax_number": "314-833-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "SUITE 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-833-3180",
            "fax_number": "314-833-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE HOSPICE OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "JUNAID",
        "authorized_official_first_name": "KULSOOM",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-922-2662",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "244-HO",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Breeden, DPT
• Teresa L Breeding, LCSW
• Aleisha Ann Breen, FNP
• Billie Jo Breen
• Sherry Breen, CRNA
• Clint Richard Breeze, D.C.
• Kevin J Breeze, RPH
• Lindsay A Brefeld, BR
• Lindsay Rae Brefeld, PNP-C, APN
• Chelsea Nicole Breihan, DDS

• Community Based Hospice Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.