Innovative Care Unlimited Health Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE CARE UNLIMITED HEALTH AGENCY, LLC

Doing business as

ICU Health Agency, LLC

Practice address

11922 Cato Drive
Florissant, MO 63033

Phone

(314) 315-7288

Fax

(314) 395-7942

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Lakisha Sanders, R.N.

Title

Registered Nurse

Phone

(314) 315-7288

Specialties & licenses 1

Addresses

Other names 1

• ICU Health Agency, LLC Doing business as

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1982030227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 CATO DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336904",
            "telephone_number": "314-315-7288",
            "fax_number": "314-395-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 CATO DRIVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63033",
            "telephone_number": "314-315-7288",
            "fax_number": "314-395-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE UNLIMITED HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "314-315-7288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICU Health Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.