NPIMap

Organization Active NPI

Personalized Home Health Care, LLC

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1710398490
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSONALIZED HOME HEALTH CARE, LLC
Practice address
3238 Parker Rd
Florissant, MO 63033-3733
Phone
(770) 559-7474
Fax
(314) 741-4836
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Mrs. Dianne West
Title
Ower/President
Phone
(314) 741-4867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3238 Parker Rd
Florissant, MO 63033-3733

Mailing address

3238 Parker Rd
Florissant, MO 63033-3733
Phone (770) 559-7474

Other practice location 1

55 Black Jack Ct
Black Jack, MO 63033-7101
Phone (314) 741-4861

National Provider Directory

National Provider Directory
Tax ID family
Personalized Home Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Black Jack Ct
Black Jack, MO 63033
Phone (314) 741-4861

3238 Parker Rd
Florissant, MO 63033
Phone (314) 741-4836

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1710398490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "770-559-7474",
            "fax_number": "314-741-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "770-559-7474",
            "fax_number": "314-741-4836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Black Jack Ct",
            "address_purpose": "LOCATION",
            "city": "Black Jack",
            "state": "MO",
            "postal_code": "630337101",
            "country_code": "US",
            "telephone_number": "314-741-4861",
            "fax_number": "314-741-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONALIZED HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWER/PRESIDENT",
        "authorized_official_telephone_number": "314-741-4867",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2020; 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.