Organization Active NPI

Heaven Scent Consumer Directed Services

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1538613799
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVEN SCENT CONSUMER DIRECTED SERVICES
Practice address
15610 Debridge Way
Florissant, MO 63034-3472
Phone
(314) 556-1413
NPI assigned
Aug 5, 2016
Last updated
Jul 21, 2022By the provider in NPPES
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
Dakendra Sharon Hunt, NURSE PRACTITONER
Title
Executive Director
Phone
(314) 438-0955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU

Addresses

Primary practice location

15610 Debridge Way
Florissant, MO 63034-3472

Mailing address

3379 N Highway 67
Florissant, MO 63033-1604
Phone (314) 438-0955

Other identifiers 1

IdentifierTypeStateIssuer
0018466MedicaidMO

National Provider Directory

National Provider Directory

Locations

3379 N Highway 67
Florissant, MO 63033

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538613799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630331604",
            "telephone_number": "314-438-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 DEBRIDGE WAY",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343472",
            "telephone_number": "314-556-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN SCENT CONSUMER DIRECTED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "DAKENDRA",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-438-0955",
        "authorized_official_credential": "NURSE PRACTITONER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018466",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, 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.