DWAYNE HENDERSON
NPI 1821469453
Home Health in Saint Louis, MO

Active since October 08, 2015
3350 CLARA AVE, A, SAINT LOUIS, MO 63120(314) 400-8041 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dwayne Henderson NPPES

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

DWAYNE HENDERSON (NPI 1821469453) is an individual home health provider in Saint Louis, Missouri and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1821469453
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameDWAYNE HENDERSON
Location Address3350 CLARA AVE, ASaint Louis, MO 63120-1634
Mailing Address5536 Hebert St, ASaint Louis, MO 63120-1623
Sole ProprietorYes
Enumeration DateOctober 8, 2015
NPI 1821469453 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.
3350 CLARA AVE, Saint Louis, MO 63120

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3350 CLARA AVE, UNIT A
SAINT LOUIS, MO 63120

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 Dwayne Henderson's NPI number?

The NPI number for Dwayne Henderson is 1821469453. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Where is Dwayne Henderson located?

Dwayne Henderson practices at 3350 Clara Ave A, Saint Louis, MO 63120. The listed phone number is (314) 400-8041.

What is Dwayne Henderson'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 Dwayne Henderson was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.