Organization Active NPI

Elite Home Health Care CDS 2 LLC

Doing business as Elite Home Health Care CDS 2

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1598347700
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELITE HOME HEALTH CARE CDS 2 LLC
Doing business as
Elite Home Health Care CDS 2
Practice address
11155 S Towne SQ Ste B
Saint Louis, MO 63123-7823
Phone
(314) 939-1103
Fax
(314) 939-1104
NPI assigned
Apr 27, 2021
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Laticha Vaughn
Title
Owner
Phone
(314) 500-3330

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

11155 S Towne SQ Ste B
Saint Louis, MO 63123-7823

Mailing address

11155 S Towne SQ Ste B
Saint Louis, MO 63123-7823
Phone (314) 939-1103

Other names 1

  • ELITE HOME HEALTH CARE CDS 2 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1598347700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 S TOWNE SQ STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237823",
            "telephone_number": "314-939-1103",
            "fax_number": "314-939-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 S TOWNE SQ STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237823",
            "telephone_number": "314-939-1103",
            "fax_number": "314-939-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTH CARE CDS 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LATICHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-500-3330"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE HOME HEALTH CARE CDS 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELITE HOME HEALTH CARE CDS 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.