Organization Active NPI

Hometeam Transistion Management Group, LLC

  • Home Health Agency
  • Ballwin, MO
National Provider Identifier
1669499570
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
ERS10407160 Issued in MO
Legal business name
HOMETEAM TRANSISTION MANAGEMENT GROUP, LLC
Practice address
301 Sovereign CT Ste 209
Ballwin, MO 63011-4435
Phone
(314) 993-4663
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Yosef Manne
Title
Ceo
Phone
(314) 993-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X ERS10407160 MO Primary

Addresses

Primary practice location

301 Sovereign CT Ste 209
Ballwin, MO 63011-4435

Mailing address

301 Sovereign CT Ste 209
Ballwin, MO 63011-4435
Phone (314) 993-4663

Other identifiers 3

IdentifierTypeStateIssuer
0004408MedicaidMO
263759409MedicaidMO
283759405MedicaidMO

National Provider Directory

National Provider Directory

Locations

118 N Meramec Ave
Saint Louis, MO 63105

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1669499570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SOVEREIGN CT STE 209",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114435",
            "telephone_number": "314-993-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOVEREIGN CT STE 209",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114435",
            "telephone_number": "314-993-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETEAM TRANSISTION MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MANNE",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-993-4663"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "ERS10407160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004408",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263759409",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283759405",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.