Organization Active NPI

Personal Home Care CDS, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1194196469
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONAL HOME CARE CDS, LLC
Practice address
100 S Market St
Ste 500
Saint Louis, MO 63101
Phone
(314) 797-5066
Fax
(314) 797-5001
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Yolanda Smith
Title
Manager
Phone
(314) 664-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 S Market St
Ste 500
Saint Louis, MO 63101

Mailing address

100 S Market St
Ste 500
Saint Louis, MO 63102
Phone (314) 797-5066

Other identifiers 1

IdentifierTypeStateIssuer
3747P1801XMedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1194196469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "address_2": "STE 500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63102",
            "telephone_number": "314-797-5066",
            "fax_number": "314-797-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "address_2": "STE 500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63101",
            "telephone_number": "314-797-5066",
            "fax_number": "314-797-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOME CARE CDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-664-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P1801X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.