Organization Active NPI

Patricia'S Bosom

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1932915766
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PATRICIA'S BOSOM
Practice address
100 Rue Saint Francois St Ste 108
Florissant, MO 63031-5131
Phone
(314) 218-5164
Fax
(866) 928-1910
NPI assigned
Dec 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Miss Michelle Nails
Title
Ceo
Phone
(314) 218-5164

Specialties & licenses 1

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

Addresses

Primary practice location

100 Rue Saint Francois St Ste 108
Florissant, MO 63031-5131

Mailing address

100 Rue Saint Francois St Ste 108
Florissant, MO 63031-5131
Phone (314) 218-5164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1932915766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RUE SAINT FRANCOIS ST STE 108",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315131",
            "telephone_number": "314-218-5164",
            "fax_number": "866-928-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RUE SAINT FRANCOIS ST STE 108",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315131",
            "telephone_number": "314-218-5164",
            "fax_number": "866-928-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA'S BOSOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "NAILS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-218-5164",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.