OrganizationActive
Mrs Octavia Home Health Care LLC
NPI 1114620887 · Home Health Agency · Saint Louis, MO
Mrs Octavia Home Health Care LLC is a Home Health Agency organization in Saint Louis, MO (NPI 1114620887).
Provider details
- NPI number
- 1114620887
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Debra Edwards, Director(314) 652-4209
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1516 Goodfellow Blvd
Saint Louis, MO 63112-3828
Phone: (314) 652-4209
Street-level locationGet directions
Mailing address
1516 Goodfellow Blvd Unit a
Saint Louis, MO 63112-3828
Other names (DBA / former)
- Former legal business name
- Mrs Octavia Home Health Care LLC
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Frequently asked questions
- What is Mrs Octavia Home Health Care LLC's NPI number?
- Mrs Octavia Home Health Care LLC's National Provider Identifier (NPI) is 1114620887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mrs Octavia Home Health Care LLC?
- Mrs Octavia Home Health Care LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Mrs Octavia Home Health Care LLC located?
- Mrs Octavia Home Health Care LLC's practice location on file with NPPES is 1516 Goodfellow Blvd, Saint Louis, MO 63112-3828.
- What is Mrs Octavia Home Health Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Mrs Octavia Home Health Care LLC is (314) 652-4209.
- Who is the authorized official for Mrs Octavia Home Health Care LLC?
- The authorized official listed on Mrs Octavia Home Health Care LLC's NPPES record is Debra Edwards, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mrs Octavia Home Health Care LLC's NPI active?
- Yes — Mrs Octavia Home Health Care LLC's NPI (1114620887) is active in the NPPES registry as of the last update on 2023-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.