Certified In Home Care LLC
In Home Supportive Care in Bridgeton, MO. Organization (NPI-2).
Details
- NPI
- 1366093767
- Entity type
- Organization (NPI-2)
- Legal business name
- Certified In Home Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2019
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
12163 Bridgeton Square DrBridgeton, MO 63044-2616
Phone 314-541-0448 · Fax 636-757-3428
Mailing address
12163 Bridgeton Square DrBridgeton, MO 63044-2616
Phone 314-541-0448 · Fax 318-726-8530
Authorized official
Valerie Stewart
Director/ Owner
3145410448
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 In Home Supportive Care Agency providers in Bridgeton · All 1,440 providers in Bridgeton
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