J4 Home Care LLC

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

Legal business name

J4 HOME CARE LLC

Practice address

1515 N Warson Rd Ste 287
Saint Louis, MO 63132-1165

Phone

(314) 943-1952

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Jenifer Gardner, LPN

Title

Owner

Phone

(314) 943-1952

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1699545186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 287",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321165",
            "telephone_number": "314-943-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 287",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321165",
            "telephone_number": "314-943-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J4 HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-943-1952",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Licensed Vocational Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.