NPIMap

Organization Active NPI

Guidedby God in Home Health LLC

  • In Home Supportive Care Agency
  • Berkeley, MO
National Provider Identifier
1588028922
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0015469 Issued in MO
Legal business name
GUIDEDBY GOD IN HOME HEALTH LLC
Practice address
5918 Evergreen Blvd
Berkeley, MO 63134-2302
Phone
(314) 764-2935
Fax
(314) 764-2017
NPI assigned
Apr 12, 2016
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Mr. George Herron Hopper
Title
Executive Director
Phone
(314) 764-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0015469 MO Primary

Addresses

Primary practice location

5918 Evergreen Blvd
Berkeley, MO 63134-2302

Mailing address

5918 Evergreen Blvd
Berkeley, MO 63134-2302
Phone (314) 764-2935

Other identifiers 1

IdentifierTypeStateIssuer
0015469MedicaidMO

National Provider Directory

National Provider Directory

Locations

5918 Evergreen Blvd
Berkeley, MO 63134
Phone (314) 764-2935

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1588028922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 EVERGREEN BLVD",
            "city": "BERKELEY",
            "state": "MO",
            "postal_code": "631342302",
            "telephone_number": "314-764-2935",
            "fax_number": "314-764-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 EVERGREEN BLVD",
            "city": "BERKELEY",
            "state": "MO",
            "postal_code": "631342302",
            "telephone_number": "314-764-2935",
            "fax_number": "314-764-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDEDBY GOD IN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "HERRON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-764-2935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "0015469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015469",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.