Active NPI
Midwest Medical Device Solutions, LLC
- In Home Supportive Care Agency
- Manchester, MO
National Provider Identifier
1043752348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Michael George
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Case Manager/Care Coordinator
- Manchester, MO
- NPI 1689126849
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
- McKenzie Center for Speech and Language
- Bonnie S. McKenzie, M.S.,CCC;SLP
- Mediclinik (MediTravels)
- Mercy Pharmacy Services LLC
- Jeffrey Michael Merkt
- Midwest Practice Solutions STL LLC (Mobile Medical Diagnostics)
- Midwest Sleep Diagnostics, Inc.
- Sarah R Modde, MSW, LCSW
- Wyatt Steven Mohrmann, DC
- Andrew A Morrill
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.