Active NPI
Home Forever Professional Care
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1841735602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOME FOREVER PROFESSIONAL CARE
- Doing business as
- Home Forever Professional Care
- Practice address
- 3621 Louisiana Ave
Saint Louis, MO 63118-3509 - Phone
- (314) 550-2990
- Fax
- (314) 682-6047
- NPI assigned
- Jan 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Etienna Coleman
- Title
- Ceo
- Phone
- (314) 682-6047
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MO | Primary |
Addresses
Primary practice location
3621 Louisiana Ave
Saint Louis, MO 63118-3509
Mailing address
3621 Louisiana Ave
Saint Louis, MO 63118-3509
Phone (314) 550-2990
Other names 1
- Home Forever Professional Care
National Provider Directory
National Provider Directory- Tax ID family
- Home Forever Professional Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1811420680
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Saint Louis, MO
- NPI 1780135020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1841735602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 LOUISIANA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183509",
"telephone_number": "314-550-2990",
"fax_number": "314-682-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 LOUISIANA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183509",
"telephone_number": "314-550-2990",
"fax_number": "314-682-6047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME FOREVER PROFESSIONAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "ETIENNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-682-6047"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Forever Professional Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Louis, MO
- Home Care Equipment, Inc.
- Home Care Mo, Inc.
- Home Care Services of Metropolitan St Louis LTD
- Home Doctors Medical Associates
- Home Elevation, LLC
- Home Forever Professional Care LLC
- Home Health Care Services of America
- Home Health Care Services of America
- Home Health First, LLC
- Home Health Medical Equipment, Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.