Organization Active NPI

A Different World in-Home Services LLC

  • In Home Supportive Care Agency
  • Ferguson, MO
National Provider Identifier
1306368097
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A DIFFERENT WORLD IN-HOME SERVICES LLC
Practice address
111 Church St Ste 104
Ferguson, MO 63135-2457
Phone
(314) 397-1279
NPI assigned
Jul 13, 2017
Last updated
Jul 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Miss Danyelle N Nelson
Title
Owner
Phone
(314) 397-1279

Specialties & licenses 1

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

Addresses

Primary practice location

111 Church St Ste 104
Ferguson, MO 63135-2457

Mailing address

111 Church St Ste 104
Ferguson, MO 63135-2457
Phone (314) 397-1279

National Provider Directory

National Provider Directory

Locations

111 Church St
Ste 104
Saint Louis, MO 63135
Phone (314) 358-0199

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1306368097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST STE 104",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352457",
            "telephone_number": "314-397-1279",
            "fax_number": "314-736-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST STE 104",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352457",
            "telephone_number": "314-397-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DIFFERENT WORLD IN-HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-397-1279",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.