Active NPI
Angel Buddy Home Health LLC
- Home Health Aide
- Saint Louis, MO
National Provider Identifier
1912653981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | MO | PRIVATE PAY HOME HEALTH SERVICES |
National Provider Directory
National Provider DirectoryLocations
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.