Organization Active NPI

K B Home Health Care Services, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1811721848
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
K B HOME HEALTH CARE SERVICES, LLC
Practice address
4411 Woodson Rd Ste 108
Saint Louis, MO 63134-3701
Phone
(314) 717-9814
Fax
(314) 227-5834
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Mr. Dewayne Marbley
Title
Owner
Phone
(314) 717-9814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4411 Woodson Rd Ste 108
Saint Louis, MO 63134-3701

Mailing address

4411 Woodson Rd Ste 108
Saint Louis, MO 63134-3701
Phone (314) 717-9814

National Provider Directory

National Provider Directory

Locations

4411 Woodson Rd
Ste 108
Saint Louis, MO 63134
Phone (314) 717-9814

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1811721848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WOODSON RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343701",
            "telephone_number": "314-717-9814",
            "fax_number": "314-227-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WOODSON RD STE 108",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343701",
            "telephone_number": "314-717-9814",
            "fax_number": "314-227-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K B HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MARBLEY",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-717-9814",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 26, 2024; 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.