Active NPI
A Different World Consumer Direct Services LLC
- In Home Supportive Care Agency
- Ferguson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2016
- 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
- Danyelle Nicole Nelson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Home Health Aide
- Ferguson, MO
- NPI 1225585631
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.