Identity Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IDENTITY HOME HEALTH CARE LLC

Practice address

1456 Goodfellow Blvd
Saint Louis, MO 63112-3736

Phone

(314) 252-0580

NPI assigned

Sep 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony T Morrow Sr.

Title

President

Phone

(314) 252-0580

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378512000000",
    "number": "1669807756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123736",
            "telephone_number": "314-252-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123736",
            "telephone_number": "314-252-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTITY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-07",
        "last_updated": "2013-09-07",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-252-0580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2013; 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.