NPIMap

Organization Active NPI

Adriatic CDS, LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1467112045
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADRIATIC CDS, LLC
Practice address
4179 Crescent Dr Ste a
Saint Louis, MO 63129-1072
Phone
(314) 408-0001
Fax
(314) 408-0125
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Sejla MaksumicNPI 1881353381
Title
Owner/Executive Director
Phone
(314) 408-0001

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4179 Crescent Dr Ste a
Saint Louis, MO 63129-1072

Mailing address

4179 Crescent Dr Ste a
Saint Louis, MO 63129-1072
Phone (314) 408-0001

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": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1467112045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 CRESCENT DR STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291072",
            "telephone_number": "314-408-0001",
            "fax_number": "314-408-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 CRESCENT DR STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291072",
            "telephone_number": "314-408-0001",
            "fax_number": "314-408-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIATIC CDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MAKSUMIC",
        "authorized_official_first_name": "SEJLA",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-408-0001"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.