Organization Active NPI

Bundles of Love in Home Services

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1992241202
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LC9819745 Issued in MO
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

Updated by the provider on Jan 10, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.