NPIMap

Organization Active NPI

Heartland Consumer Directed Services LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1619310711
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1007 Issued in MO
Legal business name
HEARTLAND CONSUMER DIRECTED SERVICES LLC
Practice address
8420 Olive Blvd
Saint Louis, MO 63132-2816
Phone
(314) 643-8165
Fax
(866) 891-1631
NPI assigned
Apr 9, 2013
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Ms. June Walker
Title
Director
Phone
(314) 643-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1007 MO Primary

Addresses

Primary practice location

8420 Olive Blvd
Saint Louis, MO 63132-2816

Mailing address

8420 Olive Blvd
Saint Louis, MO 63132-2816

National Provider Directory

National Provider Directory
Tax ID family
Heartland Consumer Directed Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1619310711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322816",
            "telephone_number": "314-643-8165",
            "fax_number": "866-891-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-643-8165",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "1007",
            "primary": true
        }
    ],
    "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 9, 2013; 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.