Personalized Care, Consumer Direct Services, LC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PERSONALIZED CARE, CONSUMER DIRECT SERVICES, LC

Doing business as

Personalized Care, CDS

Practice address

3238 Parker Rd
Florissant, MO 63033-3733

Phone

(770) 559-7474

Fax

(314) 741-4836

NPI assigned

May 15, 2014

Organization subpart

No

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

Authorized official

Name

Anthony West

Title

Chief Operations Officer

Phone

(912) 507-3928

Specialties & licenses 1

Addresses

Other names 1

• Personalized Care, CDS Doing business as

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1609287309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "770-559-7474",
            "fax_number": "314-741-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 PARKER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630333733",
            "telephone_number": "770-559-7474",
            "fax_number": "314-741-4836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Black Jack Ct",
            "address_purpose": "LOCATION",
            "city": "Black Jack",
            "state": "MO",
            "postal_code": "630337101",
            "country_code": "US",
            "telephone_number": "314-741-4861",
            "fax_number": "314-741-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONALIZED CARE, CONSUMER DIRECT SERVICES, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "912-507-3928"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Care, CDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personalized Care, CDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tivona Larae Perry
• Persistent Consumer Directed Services, LLC
• Donna Marie Person, FNP
• Personal Care Plus LLC
• Personal Home Care Services, LLC
• Personalized Home Health Care Services
• Personalized Home Health Care, LLC
• Personalized Homehealth Care Services
• Alberta Peters Herron, ARNP
• Golden Peters, PHARM.D

• Home Health Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.