Advanced Consumer Directed Services, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

ADVANCED CONSUMER DIRECTED SERVICES, LLC

Practice address

39 Villa Shopping Ctr
New Madrid, MO 63869-1230

Phone

(573) 748-5757

Fax

(573) 748-5382

NPI assigned

Oct 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dianne Ivy

Title

Member

Phone

(573) 748-5757

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1003169012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638690487",
            "telephone_number": "573-748-5757",
            "fax_number": "573-748-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 VILLA SHOPPING CTR",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691230",
            "telephone_number": "573-748-5757",
            "fax_number": "573-748-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CONSUMER DIRECTED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-748-5757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in New Madrid, MO
• Providers in New Madrid, MO by specialty
• Personal Care Attendant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.