Lifecare Missouri Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

835-HH Issued in MO

Legal business name

LIFECARE MISSOURI INC.

Practice address

2190 S. Mason Road
Suite 204
St. Louis, MO 63131

Phone

(314) 984-8650

Fax

(314) 909-1033

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Charles E. Scarlett

Title

Owner

Phone

(630) 697-8844

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• BrightStar of Kirkwood Doing business as

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1992935712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 S. MASON ROAD",
            "address_2": "SUITE 204",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-984-8650",
            "fax_number": "314-909-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 S. MASON ROAD",
            "address_2": "SUITE 204",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-984-8650",
            "fax_number": "314-909-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MISSOURI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "SCARLETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-697-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "835-HH",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MO",
            "license": "835-HH",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "835-HH",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "835-HH",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES, HOME HEALTH AGENCY LICENSE",
            "identifier": "835-HH",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION (JCAHO)",
            "identifier": "516564",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Kirkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in St. Louis, MO
• Providers in St. 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 Apr 24, 2012; 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.