Organization Active NPI

Beloved Home Services, Inc.

  • In Home Supportive Care Agency
  • Black Jack, MO
National Provider Identifier
1801235064
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BELOVED HOME SERVICES, INC.
Practice address
5 Rolling Hills Dr
Black Jack, MO 63033-4303
Phone
(314) 303-2219
NPI assigned
Jun 21, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Ms. Gwendolyn Hite, CMT
Title
President
Phone
(314) 303-2219

Specialties & licenses 1

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

Addresses

Primary practice location

5 Rolling Hills Dr
Black Jack, MO 63033-4303

Mailing address

5 Rolling Hills Dr
Black Jack, MO 63033-4303
Phone (314) 303-2219

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1801235064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROLLING HILLS DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334303",
            "telephone_number": "314-303-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROLLING HILLS DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334303",
            "telephone_number": "314-303-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED HOME SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-303-2219",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Jack, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.