Good Faith Consumer Directed Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LC9814754 Issued in MO

Legal business name

GOOD FAITH CONSUMER DIRECTED SERVICES LLC

Practice address

3310 Meramec St
Saint Louis, MO 63118-4311

Phone

(314) 749-0152

Fax

(844) 316-0208

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Carlissa HarveyNPI 1043763154

Title

Owner

Phone

(314) 749-0152

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carlissa Harvey

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1043763154
  NPD (past) Authorized official

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1104379114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MERAMEC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184311",
            "telephone_number": "314-749-0152",
            "fax_number": "844-316-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 MERAMEC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184311",
            "telephone_number": "314-749-0152",
            "fax_number": "844-316-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FAITH CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "CARLISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-749-0152"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC9814754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Gooch
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• Good Shepherd School for Children (Good Shepherd Pediatric Therapy Services)

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.