Organization Active NPI

Wholeheartedly LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1841824323
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WHOLEHEARTEDLY LLC
Practice address
15509 Debridge Way
Florissant, MO 63034-3454
Phone
(314) 504-2640
Fax
(314) 451-7852
NPI assigned
Feb 24, 2020
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Mrs. Idameise Henry
Title
Director
Phone
(314) 504-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15509 Debridge Way
Florissant, MO 63034-3454

Mailing address

15509 Debridge Way
Florissant, MO 63034-3454
Phone (314) 504-2640

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wholeheartedlycares@yahoo.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1841824323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15509 DEBRIDGE WAY",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343454",
            "telephone_number": "314-504-2640",
            "fax_number": "314-451-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15509 DEBRIDGE WAY",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343454",
            "telephone_number": "314-504-2640",
            "fax_number": "314-451-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEHEARTEDLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "IDAMEISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-504-2640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wholeheartedlycares@yahoo.com",
            "affiliation": "N",
            "address_1": "15509 Debridge Way",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630343454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.