Organization Active NPI

Senior Age Care LLC

  • Home Health Aide
  • Saint Louis, MO
National Provider Identifier
1952779316
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
SENIOR AGE CARE LLC
Practice address
9920 Watson Rd Ste 205
Saint Louis, MO 63126-1857
Phone
(636) 633-6866
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Mrs. Ana BaldeonNPI 1861869349
Title
Manager
Phone
(636) 633-6866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

9920 Watson Rd Ste 205
Saint Louis, MO 63126-1857

Mailing address

9920 Watson Rd Ste 205
Saint Louis, MO 63126-1857

National Provider Directory

National Provider Directory

Locations

9920 Watson Rd
Ste 205
Saint Louis, MO 63126
Phone (314) 375-5944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1952779316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 WATSON RD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 WATSON RD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261857",
            "telephone_number": "636-633-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR AGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "BALDEON",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-633-6866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 2, 2015; 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.