Tla Consumer Directed Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TLA CONSUMER DIRECTED SERVICE

Practice address

214 E Holden Ave
Saint Louis, MO 63125-2105

Phone

(314) 584-0396

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Angeletta Williams

Title

Owner/Director

Phone

(314) 584-0396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1104471283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E HOLDEN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252105",
            "telephone_number": "314-584-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E HOLDEN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252105",
            "telephone_number": "314-584-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLA CONSUMER DIRECTED SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANGELETTA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "314-584-0396"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 6, 2019; 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.