GWD Assisted Living LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GWD ASSISTED LIVING LLC

Practice address

11423 Saint Charles Rock Rd
Hazelwood, MO 63044-2724

Phone

(314) 246-9852

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Vernisia White

Title

Business Owner

Phone

(314) 246-9852

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1174298483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11423 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442724",
            "telephone_number": "314-246-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11423 SAINT CHARLES ROCK RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630442724",
            "telephone_number": "314-246-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWD ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VERNISIA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "314-246-9852",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Greer
• Nicole Griffin, PLPC
• Mia Guetterman, PT, DPT
• Curtis D Gunn, CCC-SLP
• Cynthia Guy, M.D.
• Robyn Leith Haithcock Sr., DO
• Hanish Eye Institute P.C.
• Sidney J Hanish, M.D.
• Kren Kathleen Harmon, LCSW
• Kennisha Harris, DC

• Home Health Agency in Hazelwood, MO
• Providers in Hazelwood, 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 10, 2021; 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.