Organization Active NPI

Paiden Angels Home Health Services LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1629816533
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PAIDEN ANGELS HOME HEALTH SERVICES LLC
Doing business as
Paiden Angels Home Health Services LLC
Practice address
100 S 4TH St Ste 100
Saint Louis, MO 63102-1821
Phone
(314) 458-4153
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Damon Van I
Title
Manager
Phone
(314) 537-5902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 S 4TH St Ste 100
Saint Louis, MO 63102-1821

Mailing address

100 S 4TH St Ste 100
Saint Louis, MO 63102-1821
Phone (314) 458-4153

Other names 1

  • Paiden Angels Home Health Services LLC Doing business as

National Provider Directory

National Provider Directory

Locations

100 S 4th St
Ste 100
Saint Louis, MO 63102
Phone (314) 458-4153

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1629816533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021821",
            "telephone_number": "314-458-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021821",
            "telephone_number": "314-458-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIDEN ANGELS HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-537-5902",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paiden Angels Home Health Services LLC",
            "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 Jul 16, 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.