Organization Active NPI

Our Heritage LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1861295065
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OUR HERITAGE LLC
Practice address
1515 N Warson Rd Ste 244
Saint Louis, MO 63132-1109
Phone
(314) 562-3307
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Corwyn Boykins
Title
Director of Operations
Phone
(314) 536-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1515 N Warson Rd Ste 244
Saint Louis, MO 63132-1109

Mailing address

2609 Liberty Gardens Dr
Florissant, MO 63031-1937
Phone (314) 536-0458

Other names 1

  • Our Heritage Health Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

1515 N Warson Rd
Ste 244
Saint Louis, MO 63132
Phone (314) 562-3307

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1861295065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 LIBERTY GARDENS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311937",
            "telephone_number": "314-536-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 244",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321109",
            "telephone_number": "314-562-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HERITAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "BOYKINS",
        "authorized_official_first_name": "CORWYN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "314-536-0458"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Heritage Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 31, 2025; 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.