NPIMap

Organization Active NPI

Grace Consumer Directed Services LLC

  • Adult Care Home Facility
  • Saint Peters, MO
National Provider Identifier
1376092445
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GRACE CONSUMER DIRECTED SERVICES LLC
Practice address
1600 Heritage LNDG Ste 202a
Saint Peters, MO 63303-8488
Phone
(314) 552-1604
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Miss Joy Katina BlairNPI 1760834634
Title
Director
Phone
(314) 552-1604

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
Adult Care Home Facility 311ZA0620X MO Primary

Addresses

Primary practice location

1600 Heritage LNDG Ste 202a
Saint Peters, MO 63303-8488

Mailing address

1600 Heritage LNDG Ste 202a
Saint Peters, MO 63303-8488
Phone (314) 552-1604

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1376092445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LNDG STE 202A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633038488",
            "telephone_number": "314-552-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LNDG STE 202A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633038488",
            "telephone_number": "314-552-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "KATINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-552-1604",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.