NPIMap

Organization Active NPI

Stat J in Home Care LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1750719563
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LC1302938 Issued in MO
Legal business name
STAT J IN HOME CARE LLC
Practice address
12942 Covington Gardens Dr
Saint Louis, MO 63138-1528
Phone
(314) 695-5113
Fax
(314) 932-5009
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Twaniece Johnson
Title
Director
Phone
(314) 695-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LC1302938 MO Primary

Addresses

Primary practice location

12942 Covington Gardens Dr
Saint Louis, MO 63138-1528

Mailing address

12942 Covington Gardens Dr
Saint Louis, MO 63138-1528
Phone (314) 695-5113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1750719563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12942 COVINGTON GARDENS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381528",
            "telephone_number": "314-695-5113",
            "fax_number": "314-932-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12942 COVINGTON GARDENS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381528",
            "telephone_number": "314-695-5113",
            "fax_number": "314-932-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT J IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TWANIECE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-695-5113"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC1302938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 2013; 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.