Organization Active NPI

Just Blessed CDS LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1730877457
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JUST BLESSED CDS LLC
Practice address
3948 Lee Ave
Saint Louis, MO 63107-1634
Phone
(314) 283-6642
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Detana Hollins
Title
Executive Director
Phone
(314) 283-6642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3948 Lee Ave
Saint Louis, MO 63107-1634

Mailing address

3948 Lee Ave
Saint Louis, MO 63107-1634
Phone (314) 283-6642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1730877457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 LEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071634",
            "telephone_number": "314-283-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 LEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071634",
            "telephone_number": "314-283-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST BLESSED CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A",
        "authorized_official_last_name": "HOLLINS",
        "authorized_official_first_name": "DETANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-283-6642"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 1, 2023; 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.