Organization Active NPI

KB CDS Health Services

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1073112868
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KB CDS HEALTH SERVICES
Practice address
5431 Chippewa St Unit B103
Saint Louis, MO 63109-1635
Phone
(314) 685-8859
Fax
(314) 754-2671
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Kevin Beard
Title
Owner/Director
Phone
(314) 814-1398

Specialties & licenses 1

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

Addresses

Primary practice location

5431 Chippewa St Unit B103
Saint Louis, MO 63109-1635

Mailing address

5431 Chippewa St Unit B103
Saint Louis, MO 63109-1635
Phone (314) 685-8859

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL KBCDShealthservices@yahoo.com

National Provider Directory

National Provider Directory

Locations

5431 Chippewa St
Unit B103
Saint Louis, MO 63109
Phone (314) 685-8859

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1073112868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 CHIPPEWA ST UNIT B103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091635",
            "telephone_number": "314-685-8859",
            "fax_number": "314-754-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 CHIPPEWA ST UNIT B103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091635",
            "telephone_number": "314-685-8859",
            "fax_number": "314-754-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB CDS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "314-814-1398"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KBCDShealthservices@yahoo.com",
            "affiliation": "N",
            "address_1": "5431 Chippewa St Unit B103",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631091635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.