NPIMap

Organization Active NPI

1 Advamced in-Home Care, LLC

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1972067882
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
1 ADVAMCED IN-HOME CARE, LLC
Practice address
855 Saddle Dr
Florissant, MO 63033-3734
Phone
(314) 494-1560
Fax
(314) 438-1981
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Danita Ellen Knuckles
Title
Owner/Manager
Phone
(314) 494-1560

Specialties & licenses 1

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

Addresses

Primary practice location

855 Saddle Dr
Florissant, MO 63033-3734

Mailing address

855 Saddle Dr
Florissant, MO 63033-3734
Phone (314) 494-1560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1972067882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SADDLE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333734",
            "telephone_number": "314-494-1560",
            "fax_number": "314-438-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SADDLE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333734",
            "telephone_number": "314-494-1560",
            "fax_number": "314-438-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 ADVAMCED IN-HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "KNUCKLES",
        "authorized_official_first_name": "DANITA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "314-494-1560"
    },
    "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 Jan 24, 2019; 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.