CBC Family Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CBC FAMILY CARE LLC

Practice address

3419 Rex Ave
Saint Louis, MO 63114-2930

Phone

(314) 449-0544

NPI assigned

Feb 4, 2017

Last updated

Feb 4, 2017By 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

Jakenzie Walton

Title

Director

Phone

(314) 449-0544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486166400000",
    "number": "1346788890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 REX AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631142930",
            "telephone_number": "314-449-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 REX AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631142930",
            "telephone_number": "314-449-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBC FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "JAKENZIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-449-0544"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cde Consumer Directed Services Inc
• Cde Health Care Services

• 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 Feb 4, 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.