Organization Active NPI

Trusted Alliance

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1770886533
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRUSTED ALLIANCE
Practice address
12045 Vivacite Dr
Saint Louis, MO 63146-5219
Phone
(314) 692-9130
Fax
(314) 692-9143
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Mr. Derrick D Munns
Title
Partner
Phone
(314) 692-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12045 Vivacite Dr
Saint Louis, MO 63146-5219

Mailing address

12045 Vivacite Dr
Saint Louis, MO 63146-5219
Phone (314) 692-9130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1770886533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 VIVACITE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465219",
            "telephone_number": "314-692-9130",
            "fax_number": "314-692-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 VIVACITE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465219",
            "telephone_number": "314-692-9130",
            "fax_number": "314-692-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "MUNNS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "314-692-9130",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Dec 15, 2010; 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.