Organization Active NPI

Angel Buddy Home Health LLC

  • Home Health Aide
  • Saint Louis, MO
National Provider Identifier
1912653981
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ANGEL BUDDY HOME HEALTH LLC
Practice address
6978 Chippewa St Ste 7
Saint Louis, MO 63109-3098
Phone
(314) 876-0171
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Tatiana Jeanea Echols
Title
Owner
Phone
(314) 876-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

6978 Chippewa St Ste 7
Saint Louis, MO 63109-3098

Mailing address

8313 Woodhurst Dr
Saint Louis, MO 63134-1212
Phone (314) 898-5464

Other identifiers 1

IdentifierTypeStateIssuer
01OtherMOPRIVATE PAY HOME HEALTH SERVICES

National Provider Directory

National Provider Directory

Locations

6978 Chippewa St
Ste 7
Saint Louis, MO 63109
Phone (314) 353-7070

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1912653981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 WOODHURST DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631341212",
            "telephone_number": "314-898-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6978 CHIPPEWA ST STE 7",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093098",
            "telephone_number": "314-876-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL BUDDY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "JEANEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-876-0171"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY HOME HEALTH SERVICES",
            "identifier": "01",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 2022; 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.