Idalia Blue's Home Health II LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDALIA BLUE'S HOME HEALTH II LLC

Practice address

10174 W Florissant Ave # 319
Saint Louis, MO 63136-2104

Phone

(636) 328-9664

NPI assigned

Nov 28, 2023

Organization subpart

No

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

Authorized official

Name

Tricia Coleman

Title

Managing Member

Phone

(636) 328-9664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1780450122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 W FLORISSANT AVE # 319",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631362104",
            "telephone_number": "636-328-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10174 W FLORISSANT AVE # 319",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631362104",
            "telephone_number": "636-328-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDALIA BLUE'S HOME HEALTH II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "636-328-9664"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icare Home Health Care LLC
• Jessie Icenogle, PHARMD
• Nneka Udonna Ichoku, D.O., MPH
• Miranda A Ickler
• Iconic Services Inc
• Idalia Blue's Home Health LLC
• Ideal Home Care LLC
• Ideal Pediatric Wellness, LLC
• Ideal Special Services LLC (IDEAL Special Services)
• Henry Charles Ideker, MD

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.