Organization Active NPI

Pure Faith Home Health, LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1780342873
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE FAITH HOME HEALTH, LLC
Practice address
1340 Del Rey Dr
Florissant, MO 63031-4225
Phone
(131) 428-0696
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Imani Easley
Title
Executive Director
Phone
(314) 280-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1340 Del Rey Dr
Florissant, MO 63031-4225

Mailing address

1340 Del Rey Dr
Florissant, MO 63031-4225
Phone (131) 428-0696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1780342873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 DEL REY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314225",
            "telephone_number": "131-428-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 DEL REY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314225",
            "telephone_number": "131-428-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE FAITH HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "IMANI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-280-6961"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.