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SHAVONDAH PORTER
NPI 1437478609
Home Health in Saint Louis, MO

Active since May 26, 2010
6714 ETZEL AVE, SAINT LOUIS, MO 63130(314) 941-2705(314) 769-9717 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shavondah Porter NPPES

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

SHAVONDAH PORTER (NPI 1437478609) is an individual home health provider in Saint Louis, Missouri and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1437478609
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameSHAVONDAH PORTER
Location Address6714 ETZEL AVESaint Louis, MO 63130-2427
Mailing AddressPo Box 4919Saint Louis, MO 63108-0919 · (314) 941-2705 · Fax (314) 769-9717
Phone(314) 941-2705
Fax(314) 769-9717
Sole ProprietorYes
Enumeration DateMay 26, 2010
✔ NPI 1437478609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
6714 ETZEL AVE, Saint Louis, MO 63130
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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 Shavondah Porter's NPI number?

The NPI number for Shavondah Porter is 1437478609. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Shavondah Porter located?

Shavondah Porter practices at 6714 Etzel Ave, Saint Louis, MO 63130. The listed phone number is (314) 941-2705.

What is Shavondah Porter's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Shavondah Porter was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.