Organization Active NPI

Power Healthcare United

  • In Home Supportive Care Agency
  • Hazelwood, MO
National Provider Identifier
1619772084
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
POWER HEALTHCARE UNITED
Practice address
7220 N Lindbergh Blvd # 20
Hazelwood, MO 63042-2019
Phone
(314) 680-4612
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Devious ShannonNPI 1164237731
Title
Owner
Phone
(314) 680-4612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7220 N Lindbergh Blvd # 20
Hazelwood, MO 63042-2019

Mailing address

7220 N Lindbergh Blvd # 20
Hazelwood, MO 63042-2019
Phone (314) 680-4612

National Provider Directory

National Provider Directory

Locations

7220 N Lindbergh Blvd
#20
Hazelwood, MO 63042
Phone (314) 680-4612

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1619772084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD # 20",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "314-680-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD # 20",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "314-680-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER HEALTHCARE UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "DEVIOUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-680-4612"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.