Organization Active NPI

JSC II, LLC

  • Customized Equipment (DME)
  • Maryland Heights, MO
National Provider Identifier
1457520215
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
801 Issued in IL
Legal business name
JSC II, LLC
Practice address
440 Old Dorsett Rd
Maryland Heights, MO 63043-3410
Phone
(314) 291-3377
Fax
(314) 291-3378
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Melinda K Trusty
Title
Office Manager
Phone
(314) 291-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 801 IL Primary

Addresses

Primary practice location

440 Old Dorsett Rd
Maryland Heights, MO 63043-3410

Mailing address

440 Old Dorsett Rd
Maryland Heights, MO 63043-3410
Phone (314) 291-3377

National Provider Directory

National Provider Directory

Locations

440 Old Dorsett Rd
Maryland Heights, MO 63043
Phone (314) 291-3377

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457520215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 OLD DORSETT RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433410",
            "telephone_number": "314-291-3377",
            "fax_number": "314-291-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 OLD DORSETT RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433410",
            "telephone_number": "314-291-3377",
            "fax_number": "314-291-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSC II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRUSTY",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-291-3377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.