Ten Healthcare, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26D0953866 Issued in MO

Legal business name

TEN HEALTHCARE, LLC

Practice address

1636 Headland Dr
Fenton, MO 63026-2837

Phone

(314) 200-3040

Fax

(314) 200-3042

NPI assigned

Jun 12, 2018

Last updated

Jul 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackson Benefield

Title

President

Phone

(314) 649-9508

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1538652805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 HEADLAND DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262837",
            "telephone_number": "314-200-3040",
            "fax_number": "314-200-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HEADLAND DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262837",
            "telephone_number": "314-200-3040",
            "fax_number": "314-200-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "BENEFIELD",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-649-9508"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D0953866",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P. Sweeney, D.C.
• Susan Szewczyk, RPH
• Cindy Marie Taylor, COTA
• James R Taylor, M.D.
• Marissa P Taylor, PA-C
• Shelia M Tenny, OTRL
• Terragenesis Health LLC
• Terragenesis Home Healthcare LLC (Interim HomeCare of St. Charles MO)
• Trevor Thier, DPT
• Stephen E. Thierauf, MD

• Clinical Medical Laboratory in Fenton, MO
• Providers in Fenton, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.