Overflow Consumer Directed Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

10103 Issued in MO

Legal business name

OVERFLOW CONSUMER DIRECTED SERVICES

Practice address

1600 Heritage LNDG
Suite 212-C
Saint Peters, MO 63303-8489

Phone

(314) 276-8695

Fax

(314) 428-3577

NPI assigned

May 17, 2013

Last updated

May 17, 2013By 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

Mrs. Sherree Shelondia Maxwell

Title

Director

Phone

(314) 276-8695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1639515513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LNDG",
            "address_2": "SUITE 212-C",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633038489",
            "telephone_number": "314-276-8695",
            "fax_number": "314-428-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE LNDG",
            "address_2": "SUITE 212-C",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633038489",
            "telephone_number": "314-276-8695",
            "fax_number": "314-428-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERFLOW CONSUMER DIRECTED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "SHERREE",
        "authorized_official_middle_name": "SHELONDIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-276-8695",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "10103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Saint Peters, MO
• Providers in Saint Peters, 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 May 17, 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.