NPIMap

Organization Active NPI

Cosby Cares Healthcare Service LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1275983850
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COSBY CARES HEALTHCARE SERVICE LLC
Practice address
1409 Washington Ave
Suite 210
Saint Louis, MO 63103-1936
Phone
(844) 532-2737
Fax
(314) 833-5819
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Catrece CosbyNPI 1144695453
Title
Manager
Phone
(314) 718-1655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1409 Washington Ave
Suite 210
Saint Louis, MO 63103-1936

Mailing address

1409 Washington Ave
Suite 210
Saint Louis, MO 63103-1936
Phone (844) 532-2737

National Provider Directory

National Provider Directory
Tax ID family
Cosby Cares Healthcare Service LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1275983850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031936",
            "telephone_number": "844-532-2737",
            "fax_number": "314-833-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031936",
            "telephone_number": "844-532-2737",
            "fax_number": "314-833-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSBY CARES HEALTHCARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "CATRECE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-718-1655"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.