CJM Elderhealth, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

088713 Issued in MO

Legal business name

CJM ELDERHEALTH, LLC

Practice address

415 Glenmeadow Dr
Ballwin, MO 63011-3466

Phone

(636) 566-8155

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Candie Ross-Moore, NP

Title

Nurse Practicioner

Phone

(314) 324-3401

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Hayden, GNP

  • Gerontology Nurse Practitioner
  • St. Louis, MO
  • NPI 1851390124
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1073843033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLENMEADOW DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113466",
            "telephone_number": "636-566-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLENMEADOW DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113466",
            "telephone_number": "636-566-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJM ELDERHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "ROSS-MOORE",
        "authorized_official_first_name": "CANDIE",
        "authorized_official_title_or_position": "NURSE PRACTICIONER",
        "authorized_official_telephone_number": "314-324-3401",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "088713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Jean Cheney, OTR
• Theresa Elizabeth Chesnut, LCSW
• Octavio R Chirino, M.D.
• Aman Fatima Chishti
• Melissa Chosid, MSMFT
• Camille Clarke, RBT
• Margaret Clarke, LMSW
• Clarkson Optometry Illinois, P.C.
• Clarkson Optometry Inc
• Clarkson Optometry Midwest Inc.

• Nurse Practitioner in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.