PERSONAL CARE HOME HEALTH SVCS., LLC


Address: 4142 Dr Martin Luther King Dr, Saint Louis, MO 63113-2730
Phone: 3146641100

PERSONAL CARE HOME HEALTH SVCS., LLC (NPI# 1588852586) 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) 1588852586
Entity Type Organization
Organization Name PERSONAL CARE HOME HEALTH SVCS., LLC
Practice Address 4142 Dr Martin Luther King Dr
Saint Louis
MO 63113-2730
Practice Telephone 3146641100
Practice Fax Number 3146641104
Mailing Telephone 3146641100
Mailing Fax Number 3146641104
Enumeration Date 2007-10-04
Last Update Date 2019-07-08
Authorized Official Name JACQUELINE SMITH (MANAGING MEMBER)
Authorized Official Telephone 3146641100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health MO Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MO 268280401 05
MO 288280407 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285765701 Personal Care Home Health Svcs., LLC Home Health 4142 Dr Martin Luther King Dr, Saint Louis, MO 63113 2007-03-08

Office Location

Street Address 4142 DR MARTIN LUTHER KING DR
City SAINT LOUIS
State MO
Zip Code 63113-2730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285765701 Personal Care Home Health Svcs., LLC Home Health 4142 Dr Martin Luther King Dr, Saint Louis, MO 63113 2007-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487139937 Kaniya Kashell Smotherman In Home Supportive Care 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 2018-10-01
1124530977 Unique Diamonds, LLC Counselor 4068 Maffitt, St. Louis, MO 63113 2017-11-02
1821507831 Another Day At Life LLC Home Health 1515 N Warson Rd Suite 103, St. Louis, MO 63113 2017-09-21
1124570999 Carestl Health Clinic/Center 4248 Cottage Ave, Saint Louis, MO 63113 2016-10-27
1164801528 Brittany Ashcraft Social Worker 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 2015-05-19
1538596465 Enduring Heart In Home Care Services Home Health 1012 Sarah, Saint Louis, MO 63113 2013-10-10
1386989127 Friends of African Amer. Family Service Center Community/Behavioral Health 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 2012-12-05
1598018202 Shelia Latrese Bradford Home Health 3637 North Market St, St. Louis, MO 63113 2012-10-18
1043587736 Angels Adult Day Care Custodial Care Facility 5021 Northland Avenue, Saint Louis, MO 63113 2011-11-23
1154575033 Debra Lynn Miller Occupational Therapist 3645 Cook Ave., St. Louis, MO 63113 2008-11-05
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265033468 Annette Presley Home Health 3008 Glade Ave, Saint Louis, MO 63136-1513 2020-11-04
1558962787 Thoughti Inc. Home Health 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 2020-11-04
1700487386 Cwc Ihs, LLC Home Health 2347 Vorhof Dr, Saint Louis, MO 63136-5727 2020-11-02
1154922698 Ericka Nycole Willis Home Health 4031 Dryden Ave, Saint Louis, MO 63115-2444 2020-11-02
1275133837 Delicate Care, LLC Home Health 523 Coppinger Dr, Saint Louis, MO 63135-2111 2020-10-31
1629678818 Modern Day Home Health Care Home Health 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 2020-10-28
1295334407 Time of Serenity, LLC Home Health 5842 Macklind Ave, Saint Louis, MO 63109-3569 2020-10-19
1073112280 Love Is Key Consumer Direct Services LLC Home Health 4261 W Garfield Ave, Saint Louis, MO 63113-2643 2020-10-19
1821696568 Steady Hand Home Health Care Home Health 2014 Nemnich Rd Apt 6, Saint Louis, MO 63136-2948 2020-10-14
1730786633 Hand of Hearts, LLC Home Health 1388 Union Blvd, Saint Louis, MO 63113-1325 2020-10-04
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Competitor

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City SAINT LOUIS
Zip Code 63113

Improve Information

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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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