Active NPI
Pure Faith Home Health, LLC
- Home Health Agency
- Florissant, MO
National Provider Identifier
1780342873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.