Mid America Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MID AMERICA HOME CARE, LLC

Doing business as

Modani Care of Missouri

Practice address

2200 W Port Plaza Dr Ste 308I
Saint Louis, MO 63146-3237

Phone

(314) 333-8880

Fax

(314) 333-8881

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Joel Krausz

Title

Ceo

Phone

(314) 333-8880

Specialties & licenses 1

Addresses

Other names 1

• Modani Care of Missouri Doing business as

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716076800000",
    "number": "1649811324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W PORT PLAZA DR STE 220D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463211",
            "telephone_number": "314-333-8880",
            "fax_number": "314-333-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W PORT PLAZA DR STE 308I",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463237",
            "telephone_number": "314-333-8880",
            "fax_number": "314-333-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "KRAUSZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-333-8880"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modani Care of Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Mickley, CPM
• Jan Micotto, CRNA
• Teresa Lynn Micotto, M.D.
• Microsurgery and Brain Research Institute, P.C.
• Microvas Wellness Center
• Mid America Home Health Inc
• Mid County OB GYN Group, Inc
• Mid County Surgery Center
• Mid-America Health
• Mid-America Home Health

• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.