Declare in-Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LC001454786 Issued in MO

Legal business name

DECLARE IN-HOME HEALTH CARE

Practice address

3439 Brown Rd
Saint Louis, MO 63114-4329

Phone

(314) 269-4096

NPI assigned

Jun 30, 2016

Last updated

Apr 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charron Monique Dixon

Title

Owner

Phone

(314) 269-4096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1952752990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 BROWN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144329",
            "telephone_number": "314-269-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 BROWN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144329",
            "telephone_number": "314-269-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECLARE IN-HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CHARRON",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-269-4096",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001454786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Elliott Decker
• George Michael Deckert, DC
• James John Deckert, M.D.
• Linda Deckert
• Sarah Deckert
• Behnjamin Ray Declue
• William Declue
• David Decresce, MD
• Dana Marie Decuffa, MD
• Matthew R Decuffa, M.D.

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.