Active NPI
Royal Direct Care Service LLC
- Home Health Agency
- Saint Ann, MO
National Provider Identifier
1356875280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ROYAL DIRECT CARE SERVICE LLC
- Practice address
- 11138 Old Saint Charles Rd
Saint Ann, MO 63074-2113 - Phone
- (314) 755-1027
- Fax
- (314) 755-1028
- NPI assigned
- Apr 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrain Gillispie
- Title
- Owner
- Phone
- (314) 755-1027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MO | Primary |
Addresses
Primary practice location
11138 Old Saint Charles Rd
Saint Ann, MO 63074-2113
Mailing address
11138 Old Saint Charles Rd
Saint Ann, MO 63074-2113
Phone (314) 755-1027
Other names 1
- Royal Home Care
National Provider Directory
National Provider Directory- Tax ID family
- Royal Direct Care Service LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Saint Ann, MO
- NPI 1891935219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570665600000",
"number": "1356875280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11138 OLD SAINT CHARLES RD",
"city": "SAINT ANN",
"state": "MO",
"postal_code": "630742113",
"telephone_number": "314-755-1027",
"fax_number": "314-755-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11138 OLD SAINT CHARLES RD",
"city": "SAINT ANN",
"state": "MO",
"postal_code": "630742113",
"telephone_number": "314-755-1027",
"fax_number": "314-755-1028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL DIRECT CARE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-18",
"last_updated": "2019-10-10",
"status": "A",
"authorized_official_last_name": "GILLISPIE",
"authorized_official_first_name": "ADRAIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-755-1027"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Royal Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Ann, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.