Active NPI
Baby Boomers Health,LLC
- Home Health Agency
- Ellisville, MO
National Provider Identifier
1902997513
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BABY BOOMERS HEALTH,LLC
- Practice address
- 15332 Manchester Rd
Suite 201
Ellisville, MO 63011-3072 - Phone
- (636) 391-5353
- NPI assigned
- Sep 27, 2006
- Last updated
- Sep 29, 2008
- 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
- Tina Louise Kuehl
- Title
- Member
- Phone
- (636) 391-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MO | Primary |
Addresses
Primary practice location
15332 Manchester Rd
Suite 201
Ellisville, MO 63011-3072
Mailing address
15332 Manchester Rd
Suite 201
Ellisville, MO 63011-3072
Phone (636) 391-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 586250904 | Medicaid | MO |
Other names 1
- A Better Way Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1902997513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15332 MANCHESTER RD",
"address_2": "SUITE 201",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630113072",
"telephone_number": "636-391-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15332 MANCHESTER RD",
"address_2": "SUITE 201",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630113072",
"telephone_number": "636-391-5353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABY BOOMERS HEALTH,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "KUEHL",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "636-391-5353"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "586250904",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A Better Way Home Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ellisville, MO
- Eric Lee Anspach, PHARMACIST
- Astra Mo Bhe LLC
- Atr Justin LLC (Advanced Training And Rehab)
- Sheelan Baban
- Babar Enterprises LLC (Excel Sports & Physical Therapy)
- Baby Boomers Home Health Services, Inc (A Better Way Home Health Care)
- Sikander M Bajwa, MAOM, PT
- Andrea Baker, RPH
- Richard K Baker, DNP, NP-C
- Darlene Baldridge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.