Healthline Homecare Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

773 Issued in MO

Legal business name

HEALTHLINE HOMECARE AGENCY LLC

Practice address

930 Kehrs Mill Rd
Suite 325-10
Ballwin, MO 63011-2462

Phone

(636) 386-8228

Fax

(636) 386-8245

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karina Shenderov

Title

Administrator

Phone

(636) 386-8228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780601450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 KEHRS MILL RD",
            "address_2": "SUITE 325-10",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112462",
            "telephone_number": "636-386-8228",
            "fax_number": "636-386-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 KEHRS MILL RD",
            "address_2": "SUITE 325-10",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112462",
            "telephone_number": "636-386-8228",
            "fax_number": "636-386-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINE HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHENDEROV",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-386-8228",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brant Harber, NP-C
• Joseph Woodrow Harszy, P.T.
• Kathryn Emily Harvey-Feldewerth, DO
• Lauren Hawse, RPH
• Eugene W Hayes, DDS,MS
• Laurie Ann Heaps, APRN, BC, FNP
• Heather C Davis DC LLC
• Renee Hedges, M.S. CCC/SLP
• Helling & Drissell DDS, LLC (Kehrs Mill Dental Arts)
• John Helling, DDS

• Home Health Agency in Ballwin, MO
• Providers in Ballwin, 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 Aug 22, 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.