Organization Active NPI

Aaa Consumer Direct Services LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1487072872
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AAA CONSUMER DIRECT SERVICES LLC
Practice address
4200 Union Blvd
110
Saint Louis, MO 63115-1227
Phone
(314) 925-0101
NPI assigned
Apr 2, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lavincent Hooker
Title
Owner
Phone
(314) 925-0101

National Provider Directory

National Provider Directory

Locations

4200 Union Blvd
Ste 110
Saint Louis, MO 63115
Phone (314) 667-5951

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

NPPES NPI Registry

Primary practice location

4200 Union Blvd
110
Saint Louis, MO 63115-1227

Mailing address

4200 Union Blvd
110
Saint Louis, MO 63115-1227

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2014.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1487072872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 UNION BLVD",
            "address_2": "110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 UNION BLVD",
            "address_2": "110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151227",
            "telephone_number": "314-925-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA CONSUMER DIRECT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "LAVINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-925-0101"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 2, 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.