Organization Active NPI

Special Requirements Home Healthcare and Patient Advocacy, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1992316343
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPECIAL REQUIREMENTS HOME HEALTHCARE AND PATIENT ADVOCACY, LLC
Practice address
4143 California Ave
Saint Louis, MO 63118-4507
Phone
(314) 593-7444
NPI assigned
Aug 10, 2020
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Tiffany WingoNPI 1952910408
Title
Owner
Phone
(314) 593-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4143 California Ave
Saint Louis, MO 63118-4507

Mailing address

4143 California Ave
Saint Louis, MO 63118-4507
Phone (314) 593-7444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1992316343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 CALIFORNIA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184507",
            "telephone_number": "314-593-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 CALIFORNIA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184507",
            "telephone_number": "314-593-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL REQUIREMENTS HOME HEALTHCARE AND PATIENT ADVOCACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-593-7444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Aug 21, 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.