Organization Active NPI

Baby Boomers Health,LLC

  • Home Health Agency
  • Ellisville, MO
National Provider Identifier
1902997513
Registry record updated Sep 29, 2008
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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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
586250904MedicaidMO

Other names 1

  • A Better Way Home Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

NPI 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

Sources for this page

Verify at the official NPI Registry.