Organization Active NPI

Malaika LLC

Doing business as Renewed Hope

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Charles, MO
National Provider Identifier
1831902220
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MALAIKA LLC
Doing business as
Renewed Hope
Practice address
5377 Highway N Ste 506
Saint Charles, MO 63304-8032
Phone
(636) 489-3555
Fax
(636) 489-3555
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Catherine N MepukoriNPI 1003514563
Title
Owner and Ceo
Phone
(636) 489-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5377 Highway N Ste 506
Saint Charles, MO 63304-8032

Mailing address

5377 Highway N Ste 506
Saint Charles, MO 63304-8032
Phone (636) 489-3555

Other names 1

  • Renewed Hope Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314002831 MO Part B Supplier - Clinic/Group Practice 1153843594 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory

Locations

1550 Wall St
Ste 234
Saint Charles, MO 63303
Phone (636) 489-3555

5377 Highway N
Ste 506
Saint Charles, MO 63304
Phone (636) 489-3555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1831902220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5377 HIGHWAY N STE 506",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048032",
            "telephone_number": "636-489-3555",
            "fax_number": "636-489-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 HIGHWAY N STE 506",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048032",
            "telephone_number": "636-489-3555",
            "fax_number": "636-489-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAIKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "MEPUKORI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "636-489-3555"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.