NPIMap

Organization Active NPI

DK Home Healthcare, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1730748120
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DK HOME HEALTHCARE, LLC
Practice address
100 S 4TH St Ste 550
Saint Louis, MO 63102-1897
Phone
(314) 643-1861
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Ms. Felicia D. WilliamsNPI 1558927129
Title
Ceo
Phone
(314) 282-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

100 S 4TH St Ste 550
Saint Louis, MO 63102-1897

Mailing address

PO Box 38828
Saint Louis, MO 63138-0828
Phone (314) 282-5888

Other practice location 1

1249 Brenthaven Ln
Florissant, MO 63031-2411
Phone (314) 643-1861

Other practice location 2

3919 Washington
St. Louis, MO 63108-6313
Phone (314) 282-5888

Other identifiers 1

IdentifierTypeStateIssuer
1285178699MedicaidMO

Other names 1

  • DK Home HealthCare, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DK Home Healthcare LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1730748120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38828",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631380828",
            "telephone_number": "314-282-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 4TH ST STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021897",
            "telephone_number": "314-643-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1249 Brenthaven Ln",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630312411",
            "country_code": "US",
            "telephone_number": "314-643-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3919 Washington",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "631086313",
            "country_code": "US",
            "telephone_number": "314-282-5888",
            "fax_number": "314-801-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DK HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-282-5888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285178699",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DK Home HealthCare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2021; 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.