NPIMap

Organization Active NPI

Comprehensive Independent Goals Inc St Louis

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1104137041
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPREHENSIVE INDEPENDENT GOALS INC ST LOUIS
Practice address
40 N Kingshighway Blvd Ste 6
Saint Louis, MO 63108-1370
Phone
(866) 926-5192
Fax
(866) 926-5191
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Mr. Ronnie Max McGowan
Title
President & Chief Financial Officer
Phone
(866) 926-5192

Specialties & licenses 1

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

Addresses

Primary practice location

40 N Kingshighway Blvd Ste 6
Saint Louis, MO 63108-1370

Mailing address

PO Box 66037
Baton Rouge, LA 70896-6037
Phone (866) 926-5192

Other identifiers 4

IdentifierTypeStateIssuer
1157384MedicaidLA
1642649MedicaidLA
1173835MedicaidLA
1157392MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Independent Goals Inc St Louis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1104137041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66037",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966037",
            "telephone_number": "866-926-5192",
            "fax_number": "866-926-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N KINGSHIGHWAY BLVD STE 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081370",
            "telephone_number": "866-926-5192",
            "fax_number": "866-926-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INDEPENDENT GOALS INC ST LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "866-926-5192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1157384",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1642649",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173835",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1157392",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "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 Jun 25, 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.