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JETTIE B'S HEALTH CARE AGENCY LLC
NPI 1932697331
Home Health in Saint Louis, MO

Active since May 01, 2018
10420 OLD OLIVE STREET RD STE 206, SAINT LOUIS, MO 63141(314) 551-2079 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jettie B's Health Care Agency Llc NPPES

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

JETTIE B'S HEALTH CARE AGENCY LLC (NPI 1932697331) is a healthcare organization registered as a home health in Saint Louis, Missouri and active in the NPI registry since May 2018. The organization lists Chakita Coburn, Owner, as its authorized official.

NPPES Registry Identity

NPI1932697331
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameJETTIE B'S HEALTH CARE AGENCY LLC
Location Address10420 OLD OLIVE STREET RD STE 206Saint Louis, MO 63141-5937
Mailing Address10420 Old Olive Street Rd Ste 206Saint Louis, MO 63141-5937
Phone(314) 551-2079
Organization SubpartNo
Authorized OfficialChakita CoburnOwner · (314) 551-2079
Enumeration DateMay 1, 2018
✔ NPI 1932697331 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.
10420 OLD OLIVE STREET RD STE 206, Saint Louis, MO 63141
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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 Jettie B's Health Care Agency LLC's NPI number?

The NPI number for Jettie B's Health Care Agency LLC is 1932697331. It was assigned to this organization in the NPPES registry on May 1, 2018.

Where is Jettie B's Health Care Agency LLC located?

Jettie B's Health Care Agency LLC is located at 10420 Old Olive Street Rd Ste 206, Saint Louis, MO 63141. The listed phone number is (314) 551-2079.

What is Jettie B's Health Care Agency 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 Jettie B's Health Care Agency LLC was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.