Organization Active NPI

Reliant Consumer Directed Services, Inc

  • Home Health Agency
  • Ferguson, MO
National Provider Identifier
1609363449
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RELIANT CONSUMER DIRECTED SERVICES, INC
Practice address
205 Henquin Dr
Ferguson, MO 63135-1840
Phone
(336) 307-1964
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Justin Stephens
Title
Owner/Manager
Phone
(336) 307-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

205 Henquin Dr
Ferguson, MO 63135-1840

Mailing address

205 Henquin Dr
Ferguson, MO 63135-1840

National Provider Directory

National Provider Directory

Locations

205 Henquin Dr
Ferguson, MO 63135
Phone (336) 307-1964

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1609363449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HENQUIN DR",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HENQUIN DR",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631351840",
            "telephone_number": "336-307-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT CONSUMER DIRECTED SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "336-307-1964"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.