NPIMap

Organization Active NPI

Haven Home Health Agency for Kids, LLC D/B/a Haven Home Health Agency

  • Nursing Care Agency
  • Florissant, MO
National Provider Identifier
1558882118
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
2011018072 Issued in MO
Legal business name
HAVEN HOME HEALTH AGENCY FOR KIDS, LLC D/B/A HAVEN HOME HEALTH AGENCY
Practice address
475 Falcon Dr
Florissant, MO 63031-2107
Phone
(314) 802-4999
Fax
(314) 802-4999
NPI assigned
Jul 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Mrs. Jaime K. Plummer, RN, MSN
Title
Owner/ Agency Administrator
Phone
(314) 802-4999

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2011018072 MO
Home Health Agency 251E00000X 2011018072 MO
Nursing Care Agency 251J00000X 2011018072 MO Primary
In Home Supportive Care Agency 253Z00000X 2011018072 MO

Addresses

Primary practice location

475 Falcon Dr
Florissant, MO 63031-2107

Mailing address

475 Falcon Dr
Florissant, MO 63031-2107

National Provider Directory

National Provider Directory
Tax ID family
Haven Home Health Agency2 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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1558882118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FALCON DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FALCON DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312107",
            "telephone_number": "314-802-4999",
            "fax_number": "314-802-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME HEALTH AGENCY FOR KIDS, LLC D/B/A HAVEN HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/ AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "314-802-4999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MO",
            "license": "2011018072",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "2011018072",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "2011018072",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "2011018072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.