Homers Haven Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMERS HAVEN HOME CARE LLC

Practice address

5636 Pamplin PL
St Louis, MO 63136

Phone

(314) 201-8819

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Iesha Mitchell

Title

Executive Director

Phone

(314) 201-8819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1558912964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 PAMPLIN PL",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 PAMPLIN PL",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-201-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMERS HAVEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-201-8819"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home4Life Home Care L.C.
• Home4Life Home Care Solutions, LLC
• Homeplace Healthcare LLC
• Homepointe Healthcare of Missouri LLC
• Homer G Phillips Memorial Hospital, Inc
• Homes That Care Co.
• Tara Hommelson, CPNP
• Hitoshi Honda, MD
• Jason W Honegger, MA
• Honey Home Ec Care LLC

• Home Health Agency in St Louis, MO
• Providers in St Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.