11:11 CDS LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

11:11 CDS LLC

Practice address

826 Union Blvd # 207
Saint Louis, MO 63108-1040

Phone

(314) 635-9500

Fax

(314) 366-4973

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By 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

Taneshia Dilworth

Title

Founder

Phone

(314) 412-4199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1699532903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 RIVERVIEW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 UNION BLVD # 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081040",
            "telephone_number": "314-635-9500",
            "fax_number": "314-366-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11:11 CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "TANESHIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "314-412-4199"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.