=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326730185
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMES AT HOME, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2023
-----------------------------------------------------
Last Update Date | 09/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11131 S TOWNE SQ STE F
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63123-7817
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-888-5848
-----------------------------------------------------
Fax | 314-842-5579
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11131 S TOWNE SQ STE F
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63123-7817
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-888-5848
-----------------------------------------------------
Fax | 314-842-5579
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR, FINANCE & SHARED SERVICES
-----------------------------------------------------
Name | MS. JENNIFER ANNE MOONEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-888-5848
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------