Organization Active NPI

Awesome Care IHS

  • In Home Supportive Care Agency
  • Saint Charles, MO
National Provider Identifier
1992217046
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AWESOME CARE IHS
Practice address
1360 S 5TH St
Saint Charles, MO 63301-2449
Phone
(636) 724-1661
Fax
(636) 724-1691
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Brittney Dickinson
Title
Director
Phone
(314) 686-0234

Specialties & licenses 1

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

Addresses

Primary practice location

1360 S 5TH St
Saint Charles, MO 63301-2449

Mailing address

4325 Delmar Blvd
St Louis, MO 63108
Phone (314) 686-0234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1992217046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 DELMAR BLVD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63108",
            "telephone_number": "314-686-0234",
            "fax_number": "636-724-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S 5TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012449",
            "telephone_number": "636-724-1661",
            "fax_number": "636-724-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME CARE IHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-686-0234"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.