Active NPI
Bundles of Love in Home Services
- In Home Supportive Care Agency
- Saint Louis, MO
National Provider Identifier
1992241202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- LC9819745
- Legal business name
- BUNDLES OF LOVE IN HOME SERVICES
- Practice address
- 501 N Taylor Ave
Saint Louis, MO 63108-1810 - Phone
- (314) 696-8600
- Fax
- (314) 696-8899
- NPI assigned
- Jan 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tequila Dionta Clark
- Title
- Owner
- Phone
- (314) 696-8600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LC9819745 | MO | |
| In Home Supportive Care Agency | 253Z00000X | LC9819745 | MO | Primary |
Addresses
Primary practice location
501 N Taylor Ave
Saint Louis, MO 63108-1810
Mailing address
501 N Taylor Ave
Saint Louis, MO 63108-1810
Phone (314) 696-8600
National Provider Directory
National Provider DirectoryLocations
501 N Taylor Ave
Saint Louis, MO 63108
Phone (314) 696-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484006400000",
"number": "1992241202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N TAYLOR AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081810",
"telephone_number": "314-696-8600",
"fax_number": "314-696-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N TAYLOR AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081810",
"telephone_number": "314-696-8600",
"fax_number": "314-696-8899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUNDLES OF LOVE IN HOME SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TEQUILA",
"authorized_official_middle_name": "DIONTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-696-8600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "LC9819745",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": "LC9819745",
"primary": true
}
],
"identifiers": [],
"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 Jan 10, 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.