Individual provider Active NPI

Latonya Isaiah

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1982290821
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LC1748396 Issued in MO
Practice address
3116 Eads Ave
Saint Louis, MO 63104-1430
Phone
(314) 306-5433
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LC1748396 MO Primary

Addresses

Primary practice location

3116 Eads Ave
Saint Louis, MO 63104-1430

Mailing address

3116 Eads Ave
Saint Louis, MO 63104-1430
Phone (314) 306-5433

Other practice location 1

3116 Eads Ave
Saint Louis, MO 63104-1430
Phone (314) 306-5433

Other identifiers 1

IdentifierTypeStateIssuer
854279826MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC1748396MOMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Patricias Good Health Solutions Home Health CurrentSince Dec 27, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1982290821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 EADS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041430",
            "telephone_number": "314-306-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 EADS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041430",
            "telephone_number": "314-306-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3116 Eads Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041430",
            "country_code": "US",
            "telephone_number": "314-306-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAIAH",
        "first_name": "LATONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC1748396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854279826",
            "state": "MO"
        }
    ],
    "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 Dec 15, 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.

Verify at the official NPI Registry.