Active NPI
Beyond Intentional Homecare & Wellness
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1942076138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BEYOND INTENTIONAL HOMECARE & WELLNESS
- Practice address
- 4625 Lindell Blvd
200 & 300
Saint Louis, MO 63108-3725 - Phone
- (314) 970-2473
- NPI assigned
- Nov 29, 2023
- 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
- Tamika Russell
- Title
- Ceo
- Phone
- (314) 970-2473
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
4625 Lindell Blvd
200 & 300
Saint Louis, MO 63108-3725
Mailing address
4625 Lindell Blvd Ste And300
Saint Louis, MO 63108-3725
Phone (314) 970-2473
National Provider Directory
National Provider DirectoryLocations
4625 Lindell Blvd
Ste AND300
Saint Louis, MO 63108
Phone (718) 307-6274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1942076138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 LINDELL BLVD STE AND300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631083725",
"telephone_number": "314-970-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 LINDELL BLVD",
"address_2": "200 & 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631083725",
"telephone_number": "314-970-2473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND INTENTIONAL HOMECARE & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-28",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "TAMIKA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-970-2473"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.