Organization Active NPI

Pauline'S CDS, LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1770192312
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PAULINE'S CDS, LLC
Practice address
8460 Watson Rd Ste 130
Saint Louis, MO 63119-5241
Phone
(314) 722-3737
Fax
(314) 329-3398
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Betty Jones
Title
Owner
Phone
(314) 662-0871

Specialties & licenses 1

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

Addresses

Primary practice location

8460 Watson Rd Ste 130
Saint Louis, MO 63119-5241

Mailing address

8460 Watson Rd Ste 130
Saint Louis, MO 63119-5241
Phone (314) 722-3737

National Provider Directory

National Provider Directory

Locations

8460 Watson Rd
Ste 130
Saint Louis, MO 63119
Phone (314) 438-7100

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1770192312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 WATSON RD STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195241",
            "telephone_number": "314-722-3737",
            "fax_number": "314-329-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 WATSON RD STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195241",
            "telephone_number": "314-722-3737",
            "fax_number": "314-329-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE'S CDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-662-0871"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jul 29, 2020; 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.