Harbor Light Hospice of Missouri LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HARBOR LIGHT HOSPICE OF MISSOURI LLC

Practice address

2258 Schuetz Rd
Suite 116
Saint Louis, MO 63146-3423

Phone

(314) 692-7211

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Gregory S Thome, R.N.

Title

Ceo

Phone

(630) 942-0100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1629405485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE C206",
            "address_2": "SUITE C-206",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375851",
            "telephone_number": "630-942-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 SCHUETZ RD",
            "address_2": "SUITE 116",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463423",
            "telephone_number": "314-692-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR LIGHT HOSPICE OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "THOME",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-942-0100",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alexander Harbison, MD
• Tori Harbison
• Melissa A Harbit, MD
• Harbor Hills Home Health LLC
• Harbor Hills Home Health LLC
• Harbor Pediatric Therapy LLC
• Rebecca Leah Harbuck, SLP
• Scott H Hardeman, M.D.
• Tanja Harden, LPN
• Lanita R Hardieway-Cherry

• Community Based Hospice Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.