Organization Active NPI

Shea Home Care, Inc.

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1801106927
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0010348 Issued in MO
Legal business name
SHEA HOME CARE, INC.
Practice address
9378 Olive Blvd Ste 101
Saint Louis, MO 63132-3222
Phone
(314) 872-7749
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Darlene Seyer
Title
President
Phone
(314) 872-7749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0010348 MO Primary

Addresses

Primary practice location

9378 Olive Blvd Ste 101
Saint Louis, MO 63132-3222

Mailing address

9378 Olive Blvd Ste 101
Saint Louis, MO 63132-3222
Phone (314) 872-7749

Other identifiers 1

IdentifierTypeStateIssuer
0010348MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Shea Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9378 Olive Blvd
Ste 101
Saint Louis, MO 63132
Phone (314) 872-7749

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1801106927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323222",
            "telephone_number": "314-872-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323222",
            "telephone_number": "314-872-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "SEYER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-872-7749"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "0010348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010348",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.