Organization Active NPI

Gray Matters Alliance LLC

  • Customized Equipment (DME)
  • Saint Charles, MO
National Provider Identifier
1477112092
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
GRAY MATTERS ALLIANCE LLC
Practice address
119 S Main St
Saint Charles, MO 63301-2802
Phone
(314) 322-3875
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Vicki Spraul
Title
President
Phone
(314) 266-2678

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

119 S Main St
Saint Charles, MO 63301-2802

Mailing address

119 S Main St
Saint Charles, MO 63301-2802
Phone (314) 266-2678

National Provider Directory

National Provider Directory

Locations

112 W Pitman St
O Fallon, MO 63366

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1477112092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012802",
            "telephone_number": "314-266-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012802",
            "telephone_number": "314-322-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY MATTERS ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "SPRAUL",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-266-2678"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.