Organization Active NPI

Health Aid Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wentzville, MO
National Provider Identifier
1215211636
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Feb 4, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
196894716MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.