Abundant Living Consumer Directed Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LC001419437 Issued in MO

Legal business name

ABUNDANT LIVING CONSUMER DIRECTED SERVICES LLC

Practice address

2730 Valley Brook Dr
Florissant, MO 63031-1985

Phone

(314) 265-0373

Fax

(314) 830-1601

NPI assigned

Feb 25, 2015

Last updated

Aug 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Betty GreenNPI 1922206457

Title

Ceo

Phone

(314) 951-4042

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betty Ann Green, LPC

  • Professional Counselor
  • Florissant, MO
  • NPI 1922206457
  NPD (past) Authorized official

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1164814240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 VALLEY BROOK DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311985",
            "telephone_number": "314-265-0373",
            "fax_number": "314-830-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 VALLEY BROOK DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311985",
            "telephone_number": "314-265-0373",
            "fax_number": "314-830-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIVING CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-951-4042",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001419437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Florissant, MO
• Providers in Florissant, 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 31, 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.