SOURCE ONE HOME HEALTHCARE LLC
NPI 1457117632
Home Health in Saint Louis, MO

Active since February 26, 2024
5145V WALLINGFORD DR, SAINT LOUIS, MO 63121(314) 445-4392 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Source One Home Healthcare Llc NPPES

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

SOURCE ONE HOME HEALTHCARE LLC (NPI 1457117632) is a healthcare organization registered as a home health in Saint Louis, Missouri and active in the NPI registry since February 2024. The organization lists Shawnyae Baker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457117632
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSOURCE ONE HOME HEALTHCARE LLC
Location Address5145V WALLINGFORD DRSaint Louis, MO 63121-1014
Mailing Address5145v Wallingford DrSaint Louis, MO 63121-1014 · (314) 445-4392
Organization SubpartNo
Authorized OfficialShawnyae BakerCeo · (314) 445-4392
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 25, 2024
NPI 1457117632 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.
5145V WALLINGFORD DR, Saint Louis, MO 63121

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 Source One Home Healthcare LLC's NPI number?

The NPI number for Source One Home Healthcare LLC is 1457117632. It was assigned to this organization in the NPPES registry on February 26, 2024.

Where is Source One Home Healthcare LLC located?

Source One Home Healthcare LLC is located at 5145V Wallingford Dr, Saint Louis, MO 63121. The listed phone number is (314) 445-4392.

What is Source One Home Healthcare LLC'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 Source One Home Healthcare LLC was last updated on February 26, 2024. 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.