Ace Valley Consumer Direct Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACE VALLEY CONSUMER DIRECT SERVICES LLC

Practice address

4554 Richmond Forest Dr
Florissant, MO 63034-2849

Phone

(314) 276-7699

NPI assigned

Sep 20, 2017

Last updated

Sep 20, 2017By 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

Eric Lester Harris Jr.

Title

Executive Director

Phone

(314) 276-7699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1194234344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 RICHMOND FOREST DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342849",
            "telephone_number": "314-276-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 RICHMOND FOREST DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342849",
            "telephone_number": "314-276-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE VALLEY CONSUMER DIRECT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-276-7699",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abundant Life Skills Ehhancement Center LLC
• Abundant Living Consumer Directed Services LLC
• Access Dental & Dentures LLC (DBA: Little Grinz)
• Accessible Community Living, Inc
• Accident and Injury Center of North County PC
• Yolanda A Acklin, NP
• Acquire Home Care Services LLC
• Active Care Home Health Services LLC
• Active Care Home Services, Inc
• Active Health, LLC (Active Health)

• In Home Supportive Care Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.