MRS OCTAVIA HOME HEALTH CARE LLC
NPI 1366216897
Nurse's Aide in Saint Louis, MO

Active since November 15, 2023
1516 GOODFELLOW BLVD UNIT-A, 1516 GOODFELLOW BLVD APT-A, SAINT LOUIS, MO 63112(314) 226-4500 Get Directions Write a Review

NPPES record last updated: November 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2023, Nov 15, 2023 (2 updates tracked since 2023).

About Mrs Octavia Home Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS OCTAVIA HOME HEALTH CARE LLC (NPI 1366216897) is a healthcare organization registered as a nurse's aide in Saint Louis, Missouri and active in the NPI registry since November 2023. The organization lists Debra Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1366216897
Entity TypeOrganization
Primary Taxonomy376K00000X
Legal Business NameMRS OCTAVIA HOME HEALTH CARE LLC
Location Address1516 GOODFELLOW BLVD UNIT-A, 1516 GOODFELLOW BLVD APT-ASaint Louis, MO 63112
Mailing Address1516 Goodfellow Blvd Unit-a, 1516 Goodfellow Blvd Unit-aSaint Louis, MO 63112 · (314) 652-4209
Organization SubpartYesParent: -
Authorized OfficialDebra EdwardsOwner · (314) 226-4500
Enumeration DateNovember 15, 2023
Last NPPES UpdateNovember 23, 20232 updates tracked since enumeration
NPPES CertifiedNovember 23, 2023
NPI 1366216897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
1516 GOODFELLOW BLVD UNIT-A, Saint Louis, MO 63112

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mrs Octavia Home Health Care LLC's NPI number?

The NPI number for Mrs Octavia Home Health Care LLC is 1366216897. It was assigned to this organization in the NPPES registry on November 15, 2023.

Where is Mrs Octavia Home Health Care LLC located?

Mrs Octavia Home Health Care LLC is located at 1516 Goodfellow Blvd Unit-A 1516 Goodfellow Blvd Apt-A, Saint Louis, MO 63112. The listed phone number is (314) 226-4500.

What is Mrs Octavia Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Mrs Octavia Home Health Care LLC was last updated on November 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.