Active NPI
Health Aid Supplies, LLC
- Durable Medical Equipment & Medical Supplies
- Wentzville, MO
National Provider Identifier
1215211636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HEALTH AID SUPPLIES, LLC
- Practice address
- 107 Creekside Office Dr
Wentzville, MO 63385-3289 - Phone
- (314) 324-5554
- Fax
- (636) 327-6863
- NPI assigned
- Oct 4, 2011
- 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
- David Russell Moss
- Title
- Owner
- Phone
- (314) 324-5554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
107 Creekside Office Dr
Wentzville, MO 63385-3289
Mailing address
107 Creekside Office Dr
Wentzville, MO 63385-3289
Phone (314) 324-5554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196894716 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
107 Creekside Office Dr
Wentzville, MO 63385
Phone (314) 324-5554
100 E Pearce Blvd
Wentzville, MO 63385
Phone (314) 445-1903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1215211636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CREEKSIDE OFFICE DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853289",
"telephone_number": "314-324-5554",
"fax_number": "636-327-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CREEKSIDE OFFICE DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853289",
"telephone_number": "314-324-5554",
"fax_number": "636-327-6863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH AID SUPPLIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-04",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-324-5554"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196894716",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.