MAGDALA HOME HEALTH CARE SERVICES, LLC (NPI# 1396374385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396374385 |
| Entity Type | Organization |
| Organization Name | MAGDALA HOME HEALTH CARE SERVICES, LLC |
| Practice Address |
1629 Brandon Park Dr Apt I Manchester MO 63021-8129 |
| Practice Telephone | 3148141869 |
| Mailing Telephone | 3148141869 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | MARY MAGDALENE ADOU GBOUGBO (OWNER) |
| Authorized Official Telephone | 3148141869 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1629 BRANDON PARK DR APT I |
| City | MANCHESTER |
| State | MO |
| Zip Code | 63021-8129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799271 | The Urban Light LLC | In Home Supportive Care | 46 Strong St, Manchester, CT 06042-3110 | 2020-08-07 |
| 1336778208 | Impress Healthcare Corporation | In Home Supportive Care | 814 Elm St Ste 307, Manchester, NH 03101-2130 | 2020-04-03 |
| 1215562020 | Way Maker Home Care LLC | In Home Supportive Care | 66 Hanover St Ste 101, Manchester, NH 03101-2230 | 2020-03-12 |
| 1477813145 | Now I Lay Me Down To Sleep, Inc | In Home Supportive Care | 308 Westwood Dr, Manchester, TN 37355-2216 | 2012-05-29 |
| 1730317512 | Carmen Littel | In Home Supportive Care | 7 Heather St, Manchester, ME 04351-3220 | 2009-06-30 |
| 1356982961 | Jdi Senior Care, Inc. | In Home Supportive Care | 100a Middle St, Manchester, NH 03101-1906 | 2019-10-04 |
| 1043752348 | Midwest Medical Device Solutions, LLC | In Home Supportive Care | 134 Enchanted Pkwy, Suite 203, Manchester, MO 63021-5495 | 2016-11-17 |
| 1841623634 | Collins Care Inc | In Home Supportive Care | 540 Chestnut St, Suite 104, Manchester, NH 03101-1447 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306732 | New Life In Home Services, LLC | In Home Supportive Care | 119 Church St Ste 220, Ferguson, MO 63135-2460 | 2020-11-06 |
| 1609477173 | Contrive Home Care Solutions LLC | In Home Supportive Care | 2839 Monroe Ave, Kansas City, MO 64128-1494 | 2020-11-02 |
| 1134729015 | Nurturing Family Home Healthcare LLC | In Home Supportive Care | 805 5th Plz, Florissant, MO 63031-1820 | 2020-10-29 |
| 1861092843 | Jerome Care, LLC | In Home Supportive Care | 517 Se 2nd St Ste B, Lees Summit, MO 64063-2629 | 2020-10-28 |
| 1073112868 | Kb Cds Health Services | In Home Supportive Care | 5431 Chippewa St Unit B103, Saint Louis, MO 63109-1635 | 2020-10-22 |
| 1285233536 | Hoping Hands Homecare LLC | In Home Supportive Care | 5046 Ridge Ave, Saint Louis, MO 63113-1404 | 2020-10-19 |
| 1013516442 | So Awesome Health Services LLC | In Home Supportive Care | 1517 Galway Ct, Liberty, MO 64068-3392 | 2020-10-16 |
| 1790383024 | Angel Home Care LLC | In Home Supportive Care | 324 Se Canter Cir, Lees Summit, MO 64082-8218 | 2020-10-09 |
| 1326645946 | Life Enhancements Home Health Care, LLC | In Home Supportive Care | 119 Church St Ste 224, Ferguson, MO 63135-2442 | 2020-10-06 |
| 1437766821 | Altrua Personal Care LLC | In Home Supportive Care | 1906 Ne Knollbrook St, Lees Summit, MO 64086-3457 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 63021 |
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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.