A Place to Mend Residential & Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A PLACE TO MEND RESIDENTIAL & HOME HEALTHCARE LLC

Practice address

1409 Washington Ave Ste 404
Saint Louis, MO 63103-1917

Phone

(314) 296-3291

Fax

(314) 296-3261

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Kenyatta L ClarkNPI 1922879121

Title

Executive Director

Phone

(314) 793-0251

Specialties & licenses 1

Addresses

Other names 1

• A Place To Mend Home Healthcare Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenyatta Clark

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1922879121
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1609615400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 404",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031917",
            "telephone_number": "314-296-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 404",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031917",
            "telephone_number": "314-296-3291",
            "fax_number": "314-296-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE TO MEND RESIDENTIAL & HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-793-0251"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place To Mend Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Place To Mend Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Saint Louis, MO
• Providers in Saint 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 May 23, 2024; 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.