Active NPI
Abresha Lucious
- Home Health Aide
- Hazelwood, MO
National Provider Identifier
1649116021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- LC014709659
- Practice address
- 945 Hornet Dr
Hazelwood, MO 63042-2309 - Phone
- (314) 551-2019
- Fax
- (314) 551-2019
- NPI assigned
- Apr 27, 2026
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | LC014709659 | MO | Primary |
Addresses
Primary practice location
945 Hornet Dr
Hazelwood, MO 63042-2309
Mailing address
945 Hornet Dr
Hazelwood, MO 63042-2309
Phone (314) 551-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC014709659 | MO | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1649116021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 HORNET DR",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630422309",
"telephone_number": "314-551-2019",
"fax_number": "314-551-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 HORNET DR",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630422309",
"telephone_number": "314-551-2019",
"fax_number": "314-551-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIOUS",
"first_name": "ABRESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MO",
"license": "LC014709659",
"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 Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.