Polk Consumer Directed Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

POLK CONSUMER DIRECTED SERVICES LLC

Practice address

3430 McKelvey Rd Ste L
Bridgeton, MO 63044-2556

Phone

(314) 517-7192

Fax

(314) 985-5833

NPI assigned

Oct 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Rikkisha Polk

Title

Owner/Director

Phone

(314) 517-7192

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1053918557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 MCKELVEY RD STE L",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442556",
            "telephone_number": "314-517-7192",
            "fax_number": "314-985-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 MCKELVEY RD STE L",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442556",
            "telephone_number": "314-517-7192",
            "fax_number": "314-985-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "RIKKISHA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "314-517-7192",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Pietrzak
• Robin Piffins
• Giancarlo A. Pillot, M.D.
• Stephanie Nicole Piotter, ANP
• Darrell Martin Pitt, D.O.
• Polk Medical Testing Solutions LLC
• Elizabeth Joy Polk, MSW
• Ryan J Pomajzl, M.D., P.T., A.T.,C.
• Emily Ponder, PHARMD
• Jaylahni-Tashon Mailena Pope

• In Home Supportive Care Agency in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.