NPIMap

Organization Active NPI

Essential Pearl Consumer Directed Services LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1689159071
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ESSENTIAL PEARL CONSUMER DIRECTED SERVICES LLC
Practice address
3931 Greer Ave
Saint Louis, MO 63107-2112
Phone
(314) 456-0171
NPI assigned
Oct 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Reginald L ColemanNPI 1417432808
Title
Executive Director
Phone
(314) 456-0171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3931 Greer Ave
Saint Louis, MO 63107-2112

Mailing address

3931 Greer Ave
Saint Louis, MO 63107-2112
Phone (314) 456-0171

Other names 1

  • Essential Pearl CDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1689159071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 GREER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631072112",
            "telephone_number": "314-456-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 GREER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631072112",
            "telephone_number": "314-456-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PEARL CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-456-0171"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Pearl CDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 1, 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.