Great Providers LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREAT PROVIDERS LLC

Practice address

3466 Bridgeland Dr Ste 202
Bridgeton, MO 63044-2606

Phone

(314) 397-8576

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Alice Fern McBride

Title

LLC Owner

Phone

(314) 397-8576

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1043717630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 BRIDGELAND DR STE 202",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442606",
            "telephone_number": "314-397-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 BRIDGELAND DR STE 202",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442606",
            "telephone_number": "314-397-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "LLC OWNER",
        "authorized_official_telephone_number": "314-397-8576"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney R Grady
• Catherine M Graham, MD
• Robert Graninger, PT, DPT, ATC
• Jacob Graves, CCC-SLP
• Brian J. Gray, D.C.
• Cherita Nichole Greer, RPH
• Gregory J Powell DMD PC
• Rebecca Ann Gregory-Babcook, MSW
• Diana Gregory, LCSW
• Rebecca Marie Gremaud, LCSW

• Home Health Agency in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.