Organization Active NPI

M&a Adkisson, LLC

Doing business as Home Instead Senior Care

  • In Home Supportive Care Agency
  • Saint Peters, MO
National Provider Identifier
1629436365
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
M&A ADKISSON, LLC
Doing business as
Home Instead Senior Care
Practice address
1236 Jungermann Rd Ste C
Saint Peters, MO 63376-6962
Phone
(636) 477-6025
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Mark Andrew Adkisson
Title
Owner
Phone
(636) 477-6025

Specialties & licenses 1

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

Addresses

Primary practice location

1236 Jungermann Rd Ste C
Saint Peters, MO 63376-6962

Mailing address

1236 Jungermann Rd Ste C
Saint Peters, MO 63376-6962
Phone (636) 477-6025

Other names 1

  • Home Instead Senior Care 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": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1629436365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 JUNGERMANN RD STE C",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766962",
            "telephone_number": "636-477-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 JUNGERMANN RD STE C",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766962",
            "telephone_number": "636-477-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&A ADKISSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "ADKISSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-477-6025"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.