Active NPI
Diversified Home Care LLC
- In Home Supportive Care Agency
- St. Louis, MO
National Provider Identifier
1740655398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DIVERSIFIED HOME CARE LLC
- Practice address
- 111 Westport Plaza Ste. 600
St. Louis, MO 63146 - Phone
- (314) 363-4532
- NPI assigned
- Dec 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nina Key
- Title
- Manager
- Phone
- (314) 363-4532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
111 Westport Plaza Ste. 600
St. Louis, MO 63146
Mailing address
111 Westport Plaza Ste. 600
St. Louis, MO 63146
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449532800000",
"number": "1740655398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WESTPORT PLAZA STE. 600",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WESTPORT PLAZA STE. 600",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63146",
"telephone_number": "314-363-4532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSIFIED HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-08",
"last_updated": "2015-12-08",
"status": "A",
"authorized_official_last_name": "KEY",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "314-363-4532",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.