CCF Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CCF ENTERPRISES LLC

Doing business as

Amada Senior Care St. Louis, LLC

Practice address

10097 Manchester Rd Ste 208
Saint Louis, MO 63122-1828

Phone

(314) 626-3905

Fax

(314) 626-3931

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Chris Fowler

Title

Owner

Phone

(314) 626-3905

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care St. Louis, LLC Doing business as

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1235649179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER RD STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221828",
            "telephone_number": "314-626-3905",
            "fax_number": "314-626-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER RD STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221828",
            "telephone_number": "314-626-3905",
            "fax_number": "314-626-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Nifong Blvd Ste 5B",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652036804",
            "country_code": "US",
            "telephone_number": "573-818-2918",
            "fax_number": "573-818-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CCF ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-626-3905"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care St. Louis, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, 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 Mar 20, 2024; 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.