Bryant'S & King'S Assisted Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

S137338040 Issued in MO

Legal business name

BRYANT'S & KING'S ASSISTED LIVING

Practice address

2162 Cherry Ave
Saint Louis, MO 63121-5625

Phone

(314) 526-1352

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Emona Lashelle EwharekukoNPI 1346647906

Title

Provider

Phone

(314) 526-1352

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emona Lashelle Ewharekuko

  • Health Service Psychologist
  • Saint Louis, MO
  • NPI 1346647906
  NPD (past) Authorized official

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1992102438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 CHERRY AVE",
            "city": "HILLSDALE",
            "state": "MO",
            "postal_code": "63121",
            "telephone_number": "314-526-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 CHERRY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215625",
            "telephone_number": "314-526-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT'S & KING'S ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "EWHAREKUKO",
        "authorized_official_first_name": "EMONA",
        "authorized_official_middle_name": "LASHELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "314-526-1352"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "S137338040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD, ATENA,KAISER-PERMANENTE",
            "identifier": "47-1693183",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD, ATENA,KAISER-PERMANENTE",
            "identifier": "47-1693183",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Clay Bryant, ANP
• Shera L Bryant
• Stacie Robyn Bryant, LCSW
• Velvet Bryant, MSW
• William Devon Bryant Jr., DDS
• Jacqueline Elaine Bryce, P.T., D.P.T.
• Olivia Ann Brym
• Emily Jeanne Bryson, MS, RD, LD
• Bsop, LLC
• Bta Behavioral Health, Inc.

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.