Active NPI
Bundles of Love Home Health Care LLC
- Home Health Agency
- Florissant, MO
National Provider Identifier
1689378267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BUNDLES OF LOVE HOME HEALTH CARE LLC
- Practice address
- 1169 N Highway 67 St
Florissant, MO 63031-4701 - Phone
- (314) 733-5683
- Fax
- (314) 733-5684
- NPI assigned
- Mar 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tequila D Clark
- Title
- Ceo
- Phone
- (314) 393-7395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1169 N Highway 67 St
Florissant, MO 63031-4701
Mailing address
1169 N Highway 67 St
Florissant, MO 63031-4701
Phone (314) 733-5683
Other names 1
- Bundles of Love Home Health Care LLC
National Provider Directory
National Provider DirectoryLocations
1169 N Highway 67 St
Florissant, MO 63031
Phone (314) 733-5683
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Florissant, MO
- NPI 1427752245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679961600000",
"number": "1689378267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 N HIGHWAY 67 ST",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630314701",
"telephone_number": "314-733-5683",
"fax_number": "314-733-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 N HIGHWAY 67 ST",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630314701",
"telephone_number": "314-733-5683",
"fax_number": "314-733-5684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUNDLES OF LOVE HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-28",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TEQUILA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-393-7395",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bundles of Love Home Health Care LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.