Active NPI
Diamond Consumer Directed Services, LLC.
- In Home Supportive Care Agency
- Florissant, MO
National Provider Identifier
1144696758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DIAMOND CONSUMER DIRECTED SERVICES, LLC.
- Practice address
- 1106 Borden Dr
Florissant, MO 63031-1302 - Phone
- (314) 587-6539
- NPI assigned
- Aug 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zeline Williams
- Title
- President
- Phone
- (314) 587-6539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | MO | Primary |
Addresses
Primary practice location
1106 Borden Dr
Florissant, MO 63031-1302
Mailing address
1106 Borden Dr
Florissant, MO 63031-1302
Phone (314) 587-6539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAD | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439856000000",
"number": "1144696758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 BORDEN DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311302",
"telephone_number": "314-587-6539",
"fax_number": "314-741-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 BORDEN DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311302",
"telephone_number": "314-587-6539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMOND CONSUMER DIRECTED SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ZELINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-587-6539"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MEDICAD",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.