The Wayfaring Place in Home Health Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PN036776 Issued in MO

Legal business name

THE WAYFARING PLACE IN HOME HEALTH CARE SERVICES, LLC

Practice address

1480 Woodstone Dr. Unit 105
St. Charles, MO 63304-3429

Phone

(314) 218-8711

Fax

(314) 754-2649

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Celestia Marie Gunn-Watkins

Title

Owner

Phone

(314) 218-8711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1659776680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 WOODSTONE DR. UNIT 105",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633043429",
            "telephone_number": "314-218-8711",
            "fax_number": "314-754-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 WOODSTONE DR. UNIT 105",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633043429",
            "telephone_number": "314-218-8711",
            "fax_number": "314-754-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAYFARING PLACE IN HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "GUNN-WATKINS",
        "authorized_official_first_name": "CELESTIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-218-8711"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "PN036776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in St. Charles, MO
• Providers in St. Charles, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.