Organization Active NPI

Mycare Home Care, LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1699147439
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MYCARE HOME CARE, LLC
Practice address
2521 Woodson Rd
Saint Louis, MO 63114-5436
Phone
(800) 486-8053
Fax
(314) 548-9455
NPI assigned
Oct 20, 2015
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Rachelle L Payne
Title
Director/Owner
Phone
(800) 486-8053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2521 Woodson Rd
Saint Louis, MO 63114-5436

Mailing address

2521 Woodson Rd
Saint Louis, MO 63114-5436
Phone (800) 486-8053

National Provider Directory

National Provider Directory

Locations

2521 Woodson Rd
Saint Louis, MO 63114
Phone (800) 486-8053

9191 West Florissant Ave
Ste 205
Saint Louis, MO 63136

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1699147439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 WOODSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145436",
            "telephone_number": "800-486-8053",
            "fax_number": "314-548-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 WOODSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145436",
            "telephone_number": "800-486-8053",
            "fax_number": "314-548-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCARE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "800-486-8053"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 23, 2025; 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.