Active NPI
Trusted Hands Direct LLC
- In Home Supportive Care Agency
- New Madrid, MO
National Provider Identifier
1649657495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- TRUSTED HANDS DIRECT LLC
- Practice address
- 1 Courthouse Square
New Madrid, MO 63869 - Phone
- (573) 748-6206
- Fax
- (573) 748-6207
- NPI assigned
- Apr 30, 2015
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Tenecia Lavonne Walker, RN BSN
- Title
- CDS Coordinator
- Phone
- (573) 748-6206
National Provider Directory
National Provider DirectoryLocations
1 Court House Sq
New Madrid, MO 63869
Phone (573) 748-6206
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1 Courthouse Square
New Madrid, MO 63869
Mailing address
PO Box 341
New Madrid, MO 63869-0341
Phone (573) 748-6206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2015.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430352000000",
"number": "1649657495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 341",
"city": "NEW MADRID",
"state": "MO",
"postal_code": "638690341",
"telephone_number": "573-748-6206",
"fax_number": "573-748-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COURTHOUSE SQUARE",
"city": "NEW MADRID",
"state": "MO",
"postal_code": "63869",
"telephone_number": "573-748-6206",
"fax_number": "573-748-6207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUSTED HANDS DIRECT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "TENECIA",
"authorized_official_middle_name": "LAVONNE",
"authorized_official_title_or_position": "CDS COORDINATOR",
"authorized_official_telephone_number": "573-748-6206",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Madrid, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.