GUARDIAN OF LOVE HOME HEALTHCARE, LLC (NPI# 1396359204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396359204 |
| Entity Type | Organization |
| Organization Name | GUARDIAN OF LOVE HOME HEALTHCARE, LLC |
| Practice Address |
2570 Mockingbird Ln Florissant MO 63031-3611 |
| Mailing Address |
Po Box 37092 Creve Coeur MO 63141-1592 |
| Practice Telephone | 3146664041 |
| Mailing Telephone | 6368966658 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | KERTONNIA PETTY-MILIKEN (OWNER) |
| Authorized Official Telephone | 6368966658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2570 MOCKINGBIRD LN |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740004 | Kertonnia Petty-miliken | Case Manager/Care Coordinator | 2570 Mockingbird Ln, Florissant, MO 63031-3611 | 2020-05-02 |
| 1366057291 | Perpend Counseling Service, LLC | Counselor | 2570 Mockingbird Ln, Florissant, MO 63031-3611 | 2020-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740004 | Kertonnia Petty-miliken | Case Manager/Care Coordinator | 2570 Mockingbird Ln, Florissant, MO 63031-3611 | 2020-05-02 |
| 1861013732 | Shontay Simpson | Case Manager/Care Coordinator | 37 Saint Anthony Ln, Florissant, MO 63031-6720 | 2020-05-02 |
| 1932596251 | Michelle Crate-clower | Case Manager/Care Coordinator | 4534 Richmond Forest Dr, Florissant, MO 63034-2849 | 2015-04-24 |
| 1568798213 | Professional In-home Care Provider, LLC. | Case Manager/Care Coordinator | 11740 Carolview Dr, Florissant, MO 63033 | 2009-10-29 |
| 1205473048 | Michael Richardson | Case Manager/Care Coordinator | 1150 Graham Rd Ste 102, Florissant, MO 63031-8077 | 2019-11-27 |
| 1316582471 | Carla Marie Scott | Case Manager/Care Coordinator | 1150 Graham Rd, Florissant, MO 63031-8077 | 2019-11-13 |
| 1033760798 | Dameia Harrold | Case Manager/Care Coordinator | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-09-24 |
| 1245880749 | Brycsyn Shaughn Hampton | Case Manager/Care Coordinator | 1150 Graham Rd Ste 102, Florissant, MO 63031-8077 | 2019-09-17 |
| 1831747906 | Amber Marie Mccurry | Case Manager/Care Coordinator | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-08-30 |
| 1922650381 | Siyuan Zheng | Case Manager/Care Coordinator | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-07-15 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.