Organization Active NPI

Mary J'S Home Health Services LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1871056473
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARY J'S HOME HEALTH SERVICES LLC
Doing business as
MARY J's HOME HEALTH SERVICES LLC
Practice address
2760 Redman Rd
Saint Louis, MO 63136-4653
Phone
(314) 795-7860
Fax
(314) 584-7004
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Mr. Jock O Winbush
Title
Member/Partner
Phone
(314) 795-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2760 Redman Rd
Saint Louis, MO 63136-4653

Mailing address

3700 Natural Bridge Ave
Saint Louis, MO 63107-2205
Phone (314) 795-7860

Other names 1

  • MARY J's HOME HEALTH SERVICES LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary J'S Home Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3700 Natural Bridge Ave
Saint Louis, MO 63107

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1871056473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 NATURAL BRIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631072205",
            "telephone_number": "314-795-7860",
            "fax_number": "314-584-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 REDMAN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364653",
            "telephone_number": "314-795-7860",
            "fax_number": "314-584-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J'S HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "WINBUSH",
        "authorized_official_first_name": "JOCK",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEMBER/PARTNER",
        "authorized_official_telephone_number": "314-795-7860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY J's HOME HEALTH SERVICES LLC",
            "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 Apr 10, 2019; 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.