Genesis Consumer Directed Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GENESIS CONSUMER DIRECTED SERVICES, LLC

Practice address

13080 New Halls Ferry Rd
Florissant, MO 63033-3237

Phone

(314) 521-2237

Fax

(314) 665-3052

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By 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

Jacqueline Hobbs WatsonNPI 1144640806

Title

President

Phone

(314) 521-2231

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Hobbs Watson

  • In Home Supportive Care Agency
  • Saint Louis, MO
  • NPI 1144640806
  NPD Authorized official

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1215605357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13080 NEW HALLS FERRY RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333237",
            "telephone_number": "314-521-2237",
            "fax_number": "314-665-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13080 NEW HALLS FERRY RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333237",
            "telephone_number": "314-521-2237",
            "fax_number": "314-665-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS CONSUMER DIRECTED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "HOBBS WATSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-521-2231"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Anne Gaspar, PHARMD
• Gracie Marie Gates
• Gateway Direct Care LLC
• Gateway Direct Primary Care JV LLC (Marathon Health- Florissant MO- Dunn Rd)
• Gateway Orthodontics
• Genesis Eldercare Rehab Services
• Genesis Rehab
• John Edgar Gentles Sr., DDS
• Genuine Care, LLC
• Genuine Health Care LLP (Genuine Health Care)

• 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 2, 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.