NPIMap

Organization Active NPI

Haven Home Health Agency for Kids, LLC

Doing business as Haven Home Health Agency

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1982112181
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HAVEN HOME HEALTH AGENCY FOR KIDS, LLC
Doing business as
Haven Home Health Agency
Practice address
475 Falcon Dr
Florissant, MO 63031-2107
Phone
(314) 802-4999
Fax
(314) 802-4958
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Mrs. Jaime K. Plummer, RN, MSN
Title
Executive Director
Phone
(314) 882-9747

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

475 Falcon Dr
Florissant, MO 63031-2107

Mailing address

475 Falcon Dr
Florissant, MO 63031-2107
Phone (314) 882-9747

Other names 1

  • Haven Home Health Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1982112181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FALCON DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312107",
            "telephone_number": "314-882-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FALCON DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312107",
            "telephone_number": "314-802-4999",
            "fax_number": "314-802-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME HEALTH AGENCY FOR KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-882-9747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2018; 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.