Organization Active NPI

Gaiter CDS Homecare LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1003340696
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GAITER CDS HOMECARE LLC
Practice address
3937 Salvation Rd
Florissant, MO 63034-3334
Phone
(314) 885-9367
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Raba A. Henderson
Title
Member/President
Phone
(314) 885-9367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3937 Salvation Rd
Florissant, MO 63034-3334

Mailing address

3937 Salvation Rd
Florissant, MO 63034-3334
Phone (314) 885-9367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1003340696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 SALVATION RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343334",
            "telephone_number": "314-885-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 SALVATION RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343334",
            "telephone_number": "314-885-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAITER CDS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "RABA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "314-885-9367"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.