Dover Home Health Mo STL Metro, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DOVER HOME HEALTH MO STL METRO, LLC

Practice address

300 Hunter Ave Ste 200
Saint Louis, MO 63124-2328

Phone

(314) 884-8817

Fax

(314) 627-4890

NPI assigned

Oct 30, 2023

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Burghart

Title

President

Phone

(314) 451-5606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891568168. Details of each certification follow.

• CCN 267684 Home health agency · Active · Details

Home health agency certification: CCN 267684

Legal name

DOVER HOME HEALTH MO STL METRO LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 12, 2024

Last certification

Jul 25, 2024

Organization structure

LLCProprietary

Incorporated

Oct 23, 2023 in MO

Enrollment address

300 Hunter Ave
Ste 107
Saint Louis, MO 63124-2081

Listed as

Dover Home Health Mo STL Metro, LLCCCN 267684 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Aug 12, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Dover Hospice Mo STL Metro, LLC

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1326811563

  Dover Capital Management, Dover Health Holdings, LLC, Dover Health, LLC, Dover Holdings Management, LLC, Dover Holdings, LLC - Dover Health

  CMS ownership
• Dover Home Health Il Chicago Metro, LLC

  • Home Health Agency
  • Woodridge, IL
  • NPI 1275375446

  Dover Capital Management, Dover Health Holdings, LLC, Dover Health, LLC, Dover Holdings, LLC - Dover Health, Dover Home Health, LLC, JRJ Revocable Trust Dated January 11, 2017, The Jennings Family Children's Trust Dated September 27, 2021

  CMS ownership
• Dover Hospice Il Chicago Metro, LLC

  • Community Based Hospice Care Agency
  • Woodridge, IL
  • NPI 1811745730

  Dover Health Holdings, LLC, Dover Holdings, LLC - Dover Health

  CMS ownership
• Dover Hospice Il STL Metro, LLC

  • Community Based Hospice Care Agency
  • Glen Carbon, IL
  • NPI 1629822358

  Dover Capital Management, Dover Health Holdings, LLC, Dover Health, LLC, Dover Holdings Management, LLC, Dover Holdings, LLC - Dover Health

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Matthew J Gibfried, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1104887728

  Home health agency

  Care Compare affiliation
• Aswin Ratna Kansakar

  • Internal Medicine Physician
  • Monticello, IN
  • NPI 1467975573

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1891568168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HUNTER AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242328",
            "telephone_number": "314-884-8817",
            "fax_number": "314-627-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HUNTER AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242328",
            "telephone_number": "314-884-8817",
            "fax_number": "314-627-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER HOME HEALTH MO STL METRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "BURGHART",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-451-5606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci R Doutre, NBC-HWC
• Dove Cares CDS, LLC
• Dove Mastectomy Supply, LLC
• Dover Health Palliative Care Mo LLC
• Dover Health Primary Care Mo LLC
• Dover Hospice Mo STL Metro, LLC
• Christy Dow, M.A. OTR/L
• Denise Michelle Dow, ANP
• Jessica Dow, BCBA
• Grace Ann Dowd, PA

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.