Organization Active NPI

Diamond Consumer Directed Services, LLC.

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1144696758
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Aug 18, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MEDICADMedicaidMO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.