Takesha Sharice Gates

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

X001395190 Issued in MO

Practice address

1614 Page Industrial Blvd
Apt a
Overland, MO 63132

Phone

(314) 896-3713

NPI assigned

Jul 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heavenly Hands Healthcare LLC

  • In Home Supportive Care Agency
  • Overland, MO
  • NPI 1255070918

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1811505712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 KINGSLAND AVE UNIT 300115",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631305005",
            "telephone_number": "314-896-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 PAGE INDUSTRIAL BLVD",
            "address_2": "APT A",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-896-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "TAKESHA",
        "middle_name": "SHARICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "X001395190",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "X001395190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fourroux Prosthetics, Inc
• Christina Fox
• Kyla Fox
• Eden Fraser, RBT
• G.P. Consultants
• Steve Alan Grant Jr., PHARM. D.
• Kendrick Dean Greathouse
• Hair on the Edge
• Hand to Hand Adult Daycare LLC
• John Derrick Harness, D.P.M.

• In Home Supportive Care Agency in Overland, MO
• Providers in Overland, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.