Deal Devoted Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DEAL DEVOTED HOME HEALTH AGENCY LLC

Practice address

2235 Thunderbird Ave
Florissant, MO 63033-1744

Phone

(314) 332-0758

NPI assigned

Jul 19, 2019

Organization subpart

No

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

Authorized official

Name

Shabaut Baht Israel

Title

Owner/Ceo/Member

Phone

(314) 332-0758

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1588217418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 THUNDERBIRD AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630331744",
            "telephone_number": "314-332-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 THUNDERBIRD AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630331744",
            "telephone_number": "314-332-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAL DEVOTED HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "SHABAUT",
        "authorized_official_middle_name": "BAHT",
        "authorized_official_title_or_position": "OWNER/CEO/MEMBER",
        "authorized_official_telephone_number": "314-332-0758"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dealdevotedhha@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2235 Thunderbird Ave",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630331744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.