Organization Active NPI

Hearts of Grace Consumer Directed Services

  • Home Health Agency
  • Bridgeton, MO
National Provider Identifier
1689041469
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEARTS OF GRACE CONSUMER DIRECTED SERVICES
Practice address
12033 Bridgeton Trails CT
Bridgeton, MO 63044-2875
Phone
(314) 458-5246
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Glenda Luckett
Title
President/Manager
Phone
(314) 458-5246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO Primary

Addresses

Primary practice location

12033 Bridgeton Trails CT
Bridgeton, MO 63044-2875

Mailing address

12033 Bridgeton Trails CT
Bridgeton, MO 63044-2875

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1689041469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12033 BRIDGETON TRAILS CT",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 BRIDGETON TRAILS CT",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442875",
            "telephone_number": "314-458-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS OF GRACE CONSUMER DIRECTED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "314-458-5246"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.