CONNIE MACK


Address: 3531 N Taylor Ave, Saint Louis, MO 63115-2614
Phone: 3143989070

CONNIE MACK (NPI# 1568929032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568929032
Entity Type Individual
Full Name CONNIE MACK
Practice Address 3531 N Taylor Ave
Saint Louis
MO 63115-2614
Practice Telephone 3143989070
Mailing Telephone 3143989070
Enumeration Date 2019-02-21
Last Update Date 2019-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 374U00000X Home Health Aide Nursing Service Related Providers

Office Location

Street Address 3531 N TAYLOR AVE
City SAINT LOUIS
State MO
Zip Code 63115-2614

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871023002 Joshua Kamau Njenga Nurse Practitioner 4412 Clarence Avenue, Saint Louis, MO 63115 2017-06-20
1417409178 Carestl Health Clinic/Center 4265 Athlone Ave, Saint Louis, MO 63115 2016-10-28
1366806051 Samar Roberson Home Health 4307 Steinlage Dr, Saint Louis, MO 63115 2016-04-08
1033376884 Cornell C Thomas Dentist 3737 N Kings Highway, Suite 108, St Louis, MO 63115 2008-05-20
1033617386 Carestl Health Clinic/Center 4500 Pope Ave, Saint Louis, MO 63115 2018-01-31
1023466984 Carestl Health #4 Durable Medical Equipment & Medical Supplies 4500 Pope Ave, Saint Louis, MO 63115 2016-06-01
1164621538 The Learning Tree Intergenerational Center Inc Clinic/Center 4430 Labadie Ave, St Louis, MO 63115 2007-07-16
1790845196 Saint Louis Renal Care, LLC Clinic/Center 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 2006-12-08
1245721331 Paul Anthony Matthews Sr. Home Health Aide 5165 Ashland Ave, Saint Louis, MO 63115-1014 2018-05-23
1952946857 Tiffany Nicole Stewart Home Health 5116 Greer Ave, Saint Louis, MO 63115-1017 2019-11-14
Find all providers in zip 63115

Taxonomy Information

Taxonomy Code 374U00000X
Grouping Nursing Service Related Providers
Classification Home Health Aide

Taxonomy Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689281156 Darnice Hudson Home Health Aide 8723 Marcella Ave, Saint Louis, MO 63121-4105 2020-09-28
1235757832 Legacy Home Care LLC Home Health Aide 1100 Mona Dr, Saint Louis, MO 63130-2130 2020-07-09
1700404845 Tyronia Patricia Porchia Home Health Aide 8911 Ramona Ave, Saint Louis, MO 63121-4018 2020-07-06
1942826730 Victoria J Washington Home Health Aide 4218 E Maffitt Ave, Saint Louis, MO 63113-2935 2020-06-17
1588287916 St. Louis Homecare, LLC Home Health Aide 7961 Big Bend Blvd, Saint Louis, MO 63119-2703 2020-05-20
1013543016 Shanika Whitfield Home Health Aide 4106 Enright Ave Apt 104, Saint Louis, MO 63108-3058 2020-03-21
1033758974 Ronnika Lane Home Health Aide 24 Compton Ave, Saint Louis, MO 63135-2732 2019-12-23
1467097402 Lynette Mcalpine Home Health Aide 3144 Chippewa St, Saint Louis, MO 63118-3632 2019-11-14
1285278069 Justin Johnson Home Health Aide 5636 Statler Ave, Saint Louis, MO 63136-1127 2019-11-04
1538703814 Latoya L Taylor Home Health Aide 10720 Sibley Ct, Saint Louis, MO 63136-4416 2019-10-30
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63115

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Dataset Information

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.

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