Outreach Home Healthcare Agency in Home, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OUTREACH HOME HEALTHCARE AGENCY IN HOME, LLC

Practice address

10351 Capitol Dr
Saint Louis, MO 63136-4305

Phone

(314) 755-1138

Fax

(314) 867-2133

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Laya Turner

Title

Owner

Phone

(314) 755-1138

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1730713249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 CAPITOL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364305",
            "telephone_number": "314-755-1138",
            "fax_number": "314-867-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 CAPITOL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364305",
            "telephone_number": "314-755-1138",
            "fax_number": "314-867-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOME HEALTHCARE AGENCY IN HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "LAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-755-1138"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.