Organization Active NPI

Home Sweet Home Health Care Agency

Doing business as Lisa Mitchell

  • Home Health Agency
  • Maryland Heights, MO
National Provider Identifier
1912985326
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME SWEET HOME HEALTH CARE AGENCY
Doing business as
Lisa Mitchell
Practice address
11425 Dorsett Rd
Suite 203
Maryland Heights, MO 63043-3445
Phone
(314) 291-5155
Fax
(866) 764-6380
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Lisa Marie Mitchell
Title
Owner
Phone
(314) 291-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11425 Dorsett Rd
Suite 203
Maryland Heights, MO 63043-3445

Mailing address

11425 Dorsett Rd
Suite 203
Maryland Heights, MO 63043-3445
Phone (314) 291-5155

Other identifiers 2

IdentifierTypeStateIssuer
286220900MedicaidMO
266220904MedicaidMO

Other names 1

  • Lisa Mitchell Doing business as

National Provider Directory

National Provider Directory

Locations

11425 Dorsett Rd
Ste 203
Maryland Heights, MO 63043
Phone (314) 291-5155

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1912985326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 DORSETT RD",
            "address_2": "SUITE 203",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433445",
            "telephone_number": "314-291-5155",
            "fax_number": "866-764-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 DORSETT RD",
            "address_2": "SUITE 203",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433445",
            "telephone_number": "314-291-5155",
            "fax_number": "866-764-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-291-5155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286220900",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266220904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Mitchell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.