Active NPI
Harbor Hills Home Health LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1962098251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HARBOR HILLS HOME HEALTH LLC
- Practice address
- 849 Westgate Ave
Unit 208
Saint Louis, MO 63130 - Phone
- (314) 456-9414
- Fax
- (314) 786-6416
- NPI assigned
- Dec 21, 2020
- 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
- Mrs. Kadijia A Hayes
- Title
- Ceo
- Phone
- (314) 456-9414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
849 Westgate Ave
Unit 208
Saint Louis, MO 63130
Mailing address
849 Westgate Ave
Unit 208
Saint Louis, MO 63130
Phone (314) 456-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T1019 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | - |
National Provider Directory
National Provider Directory- Tax ID family
- Harbor Hills Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1750987129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608508800000",
"number": "1962098251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 WESTGATE AVE",
"address_2": "UNIT 208",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63130",
"telephone_number": "314-456-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 WESTGATE AVE",
"address_2": "UNIT 208",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63130",
"telephone_number": "314-456-9414",
"fax_number": "314-786-6416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR HILLS HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-09",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "KADIJIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-456-9414",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T1019",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "-",
"affiliation": "N",
"address_1": "849 Westgate Ave",
"address_2": "Unit 208",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "63130",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 21, 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.