Organization Active NPI

Support for Independence

  • In Home Supportive Care Agency
  • Wentzville, MO
National Provider Identifier
1699277749
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPPORT FOR INDEPENDENCE
Practice address
1419 Devonshire County Dr
Wentzville, MO 63385-4349
Phone
(314) 504-1459
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Unique Macon
Title
President
Phone
(314) 504-1459

Specialties & licenses 1

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

Addresses

Primary practice location

1419 Devonshire County Dr
Wentzville, MO 63385-4349

Mailing address

1419 Devonshire County Dr
Wentzville, MO 63385-4349
Phone (314) 504-1459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1699277749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 DEVONSHIRE COUNTY DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854349",
            "telephone_number": "314-504-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 DEVONSHIRE COUNTY DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854349",
            "telephone_number": "314-504-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT FOR INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MACON",
        "authorized_official_first_name": "UNIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-504-1459"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.