ACTIVE CARE HOME SERVICES, INC (NPI# 1467876763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467876763 |
Entity Type | Organization |
Organization Name | ACTIVE CARE HOME SERVICES, INC |
Practice Address |
4578 Behlmann Grove Pl Florissant MO 63034-2860 |
Practice Telephone | 3146401802 |
Practice Fax Number | 3147413799 |
Mailing Telephone | 3146401802 |
Mailing Fax Number | 3147413799 |
Enumeration Date | 2014-02-07 |
Last Update Date | 2014-02-07 |
Authorized Official Name | MICHELLE SCOTT (PRESIDENT) |
Authorized Official Telephone | 3146401802 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
Street Address |
4578 BEHLMANN GROVE PL |
City | FLORISSANT |
State | MO |
Zip Code | 63034-2860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
1063061778 | Abundant Life Senior Care LLC | Registered Nurse | 15606 Brunswick Manor, Florissant, MO 63034 | 2019-09-05 |
1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
Find all providers in zip 63034 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295343127 | Ardella Watkins | Technician | 3878 Hirondelle Ln, Florissant, MO 63034-2308 | 2020-07-16 |
1104473750 | Healing Waters of St Louis LLC | Technician | 1670 Horseshoe Dr, Florissant, MO 63033-2526 | 2019-08-19 |
1790250785 | Keisha Robinson | Technician | 6943 Jamestown Way Dr, Florissant, MO 63033-5135 | 2018-10-05 |
1033575873 | Craig Dixson | Technician | 3904 Hermans Lake Ct, Florissant, MO 63034-1561 | 2016-01-09 |
1033519889 | Comfort Healthcare At Home, Inc | Technician | 6787 Blossom View Dr, Florissant, MO 63033-5133 | 2014-08-29 |
1598170243 | Kennyetta Chatman | Technician | 3668 Whispering Woods Dr, Florissant, MO 63031-1100 | 2014-06-20 |
1225459092 | Shauneille Conner | Technician | 3445 Amblewood Dr, Florissant, MO 63033-3902 | 2013-12-22 |
1932539087 | Niesha Mcdaniel | Technician | 2387 Millvalley Dr, Florissant, MO 63031-2821 | 2013-11-26 |
1346596772 | Monica Beatrice Perry | Technician | 14479 Rockypoint Dr, Florissant, MO 63034-2647 | 2012-08-03 |
1972838472 | Health Market Associates LLC | Technician | 925 N. Highway 67, Florissant, MO 63031-2917 | 2009-10-16 |
Find all providers in FLORISSANT |
City | FLORISSANT |
Zip Code | 63034 |
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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.