Personal Care Medical Enterprise

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

LC1363451 Issued in MO

Legal business name

PERSONAL CARE MEDICAL ENTERPRISE

Practice address

5933 S Highway 94
Suite 102
Weldon Spring, MO 63304-5610

Phone

(636) 477-6085

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By 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

Mr. Nicolas WiegandNPI 1275954190

Title

President/Owner

Phone

(636) 477-6085

Specialties & licenses 1

Addresses

Locations

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.

• Nicolas Wiegand

  • Durable Medical Equipment & Medical Supplies
  • Weldon Spring, MO
  • NPI 1275954190
  NPD (past) Authorized official

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1447669767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 S HIGHWAY 94",
            "address_2": "SUITE 102",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633045610",
            "telephone_number": "636-477-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 S HIGHWAY 94",
            "address_2": "SUITE 102",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633045610",
            "telephone_number": "636-477-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE MEDICAL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "WIEGAND",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "636-477-6085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "LC1363451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Lynne Ober, M.A., CCC-SLP
• Goodluck Chibuike Okereke, DNP
• Julie Elizabeth Osterholt, LCSW
• Taylor Ottwell, MA, PLPC
• Muhammad Ovais, FPMHNP
• Personal Care Products, Inc.
• Abby Nicole Peters, BCBA
• Dianna Lynn Phares, PHD, DNP, APRN-BC
• Margaret Rose Phillips
• Physician Groups LC (Weldon Springs Physicians)

• Durable Medical Equipment & Medical Supplies in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.