Organization Active NPI

Glowing Hearts Consumer Directed Services, LLC

  • In Home Supportive Care Agency
  • Marston, MO
National Provider Identifier
1063957595
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GLOWING HEARTS CONSUMER DIRECTED SERVICES, LLC
Practice address
511 E Elm St
Marston, MO 63866
Phone
(573) 643-2537
Fax
(573) 643-2519
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Lahoma Newsom
Title
Owner
Phone
(573) 643-2537

Specialties & licenses 1

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

Addresses

Primary practice location

511 E Elm St
Marston, MO 63866

Mailing address

PO Box 373
Marston, MO 63866
Phone (573) 643-2537

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1063957595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "MARSTON",
            "state": "MO",
            "postal_code": "63866",
            "telephone_number": "573-643-2537",
            "fax_number": "573-643-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E ELM ST",
            "city": "MARSTON",
            "state": "MO",
            "postal_code": "63866",
            "telephone_number": "573-643-2537",
            "fax_number": "573-643-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWING HEARTS CONSUMER DIRECTED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "LAHOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-643-2537"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.