Dta Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DTA HOME HEALTH SERVICES LLC

Practice address

1822 Dunnideer Dr
Saint Louis, MO 63136-3004

Phone

(314) 680-0281

Fax

(314) 388-1632

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Elona Danail Bevly

Title

Owner

Phone

(314) 680-0281

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1790220796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 DUNNIDEER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363004",
            "telephone_number": "314-680-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 DUNNIDEER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363004",
            "telephone_number": "314-680-0281",
            "fax_number": "314-388-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTA HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "BEVLY",
        "authorized_official_first_name": "ELONA",
        "authorized_official_middle_name": "DANAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-680-0281"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Saint Louis, MO
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• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.