Organization Active NPI

Nana and Jack'S in-Home Healthcare ,LLC

  • Homemaker
  • Saint Louis, MO
National Provider Identifier
1760018436
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
NANA AND JACK'S IN-HOME HEALTHCARE ,LLC
Practice address
1409 Washington Ave Ste 419
Saint Louis, MO 63103-1917
Phone
(314) 449-1427
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Tameisha Taylor
Title
Director
Phone
(314) 449-1427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

1409 Washington Ave Ste 419
Saint Louis, MO 63103-1917

Mailing address

1409 Washington Ave Ste 419
Saint Louis, MO 63103-1917
Phone (314) 449-1427

National Provider Directory

National Provider Directory

Locations

1409 Washington Ave
Ste 419
Saint Louis, MO 63103
Phone (314) 449-1427

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1760018436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 419",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031917",
            "telephone_number": "314-449-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 419",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031917",
            "telephone_number": "314-449-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANA AND JACK'S IN-HOME HEALTHCARE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TAMEISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-449-1427"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "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 Mar 13, 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.