NPIMap

Organization Active NPI

Dynasty Home Health Care LLC

  • Home Health Agency
  • Saint Peters, MO
National Provider Identifier
1770160095
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DYNASTY HOME HEALTH CARE LLC
Practice address
2101 Pure St
Saint Peters, MO 63376-3484
Phone
(636) 442-3194
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Allante Nicole Henderson
Title
Owner
Phone
(636) 442-3194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2101 Pure St
Saint Peters, MO 63376-3484

Mailing address

2101 Pure St
Saint Peters, MO 63376-3484
Phone (636) 442-3194

Other names 1

  • Dynasty Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dynasty Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1770160095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PURE ST",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763484",
            "telephone_number": "636-442-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PURE ST",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763484",
            "telephone_number": "636-442-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ALLANTE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-442-3194"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynasty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.