NPIMap

Organization Active NPI

Elite Home Care, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1659935666
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HOME CARE, LLC
Practice address
5536 Hebert St Apt a
Saint Louis, MO 63120-1623
Phone
(314) 400-8484
Fax
(314) 480-7177
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Tayon Henderson
Title
Owner/CDS Coordinator
Phone
(314) 400-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5536 Hebert St Apt a
Saint Louis, MO 63120-1623

Mailing address

5536 Hebert St Apt a
Saint Louis, MO 63120-1623
Phone (314) 400-8484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1659935666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 HEBERT ST APT A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631201623",
            "telephone_number": "314-400-8484",
            "fax_number": "314-480-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 HEBERT ST APT A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631201623",
            "telephone_number": "314-400-8484",
            "fax_number": "314-480-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TAYON",
        "authorized_official_title_or_position": "OWNER/CDS COORDINATOR",
        "authorized_official_telephone_number": "314-400-8484"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2019; 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.