Healthline Consumer Directed Care, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HEALTHLINE CONSUMER DIRECTED CARE, LLC

Practice address

9715 Olive Blvd Ste C
Saint Louis, MO 63132-3004

Phone

(636) 386-8323

Fax

(314) 755-1030

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Daniel Shenderov

Title

Owner

Phone

(636) 675-0946

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.

• Lenny Kagan

  • Driver
  • Saint Louis, MO
  • NPI 1609642107
  NPD

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1154632693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 OLIVE BLVD STE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323004",
            "telephone_number": "636-386-8323",
            "fax_number": "314-755-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 OLIVE BLVD STE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323004",
            "telephone_number": "636-386-8323",
            "fax_number": "314-755-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINE CONSUMER DIRECTED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "SHENDEROV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-675-0946"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.