Organization Active NPI

A Different World Consumer Direct Services LLC

  • In Home Supportive Care Agency
  • Ferguson, MO
National Provider Identifier
1174076343
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A DIFFERENT WORLD CONSUMER DIRECT SERVICES LLC
Practice address
111 Church St
Suite 104-105
Ferguson, MO 63135-2441
Phone
(314) 736-1388
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Danyelle Nicole NelsonNPI 1225585631
Title
Owner
Phone
(314) 482-7065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

111 Church St
Suite 104-105
Ferguson, MO 63135-2441

Mailing address

111 Church St
Suite 104-105
Ferguson, MO 63135
Phone (314) 736-1388

National Provider Directory

National Provider Directory

Locations

111 Church St
Ste 104105
Ferguson, MO 63135
Phone (314) 736-1388

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1174076343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST",
            "address_2": "SUITE 104-105",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "63135",
            "telephone_number": "314-736-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST",
            "address_2": "SUITE 104-105",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352441",
            "telephone_number": "314-736-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DIFFERENT WORLD CONSUMER DIRECT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-482-7065"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.