Organization Active NPI

Precious Palms Home Services LLC

  • In Home Supportive Care Agency
  • Black Jack, MO
National Provider Identifier
1932504628
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRECIOUS PALMS HOME SERVICES LLC
Practice address
12572 Springtrail Dr
Black Jack, MO 63033-4421
Phone
(314) 265-1151
NPI assigned
Oct 24, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Angela Slater
Title
Director
Phone
(314) 265-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12572 Springtrail Dr
Black Jack, MO 63033-4421

Mailing address

525 St Francois
Suite 10
Florissant, MO 63034
Phone (314) 265-1151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1932504628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ST FRANCOIS",
            "address_2": "SUITE 10",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-265-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12572 SPRINGTRAIL DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334421",
            "telephone_number": "314-265-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS PALMS HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-265-1151"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Jack, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.