Organization Active NPI

Additional in Home Care, Inc.

  • Chore Provider
  • O'Fallon, MO
National Provider Identifier
1689004673
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Legal business name
ADDITIONAL IN HOME CARE, INC.
Practice address
801 S Woodlawn
Ste. 27
O Fallon, MO 63366-7646
Phone
(636) 294-6324
Fax
(866) 277-3475
NPI assigned
Nov 12, 2013
Last updated
Nov 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Ms. Crystal Lynn Daniels
Title
President
Phone
(314) 497-5990

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Chore ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372500000X Primary
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

801 S Woodlawn
Ste. 27
O Fallon, MO 63366-7646

Mailing address

801 Woodlawn Ave Ste 29
O Fallon, MO 63366-7647
Phone (636) 294-6324

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1689004673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WOODLAWN AVE STE 29",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667647",
            "telephone_number": "636-294-6324",
            "fax_number": "636-294-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WOODLAWN",
            "address_2": "STE. 27",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667646",
            "telephone_number": "636-294-6324",
            "fax_number": "866-277-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDITIONAL IN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-497-5990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.