Organization Active NPI

Midwest Medical Device Solutions, LLC

  • In Home Supportive Care Agency
  • Manchester, MO
National Provider Identifier
1043752348
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIDWEST MEDICAL DEVICE SOLUTIONS, LLC
Practice address
134 Enchanted Pkwy
Suite 203
Manchester, MO 63021-5495
Phone
(636) 220-3090
NPI assigned
Nov 17, 2016
Last updated
Nov 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Mr. David Michael GeorgeNPI 1689126849
Title
President
Phone
(636) 220-3090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

134 Enchanted Pkwy
Suite 203
Manchester, MO 63021-5495

Mailing address

1852 Winegard Dr
Ballwin, MO 63021-5837
Phone (636) 220-3090

National Provider Directory

National Provider Directory

Locations

134 Enchanted Pkwy
Ste 203
Manchester, MO 63021
Phone (314) 517-9730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1043752348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 WINEGARD DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215837",
            "telephone_number": "636-220-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ENCHANTED PKWY",
            "address_2": "SUITE 203",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215495",
            "telephone_number": "636-220-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL DEVICE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-220-3090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.