Senior Source CDS LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SENIOR SOURCE CDS LLC

Practice address

7733 Forsyth Blvd Ste 1106
Clayton, MO 63105-1817

Phone

(314) 296-6005

Fax

(855) 940-0173

NPI assigned

Oct 31, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Shamikka Carlson

Title

Executive Director

Phone

(314) 709-3976

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1780151340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 FORSYTH BLVD STE 1106",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051817",
            "telephone_number": "314-296-6005",
            "fax_number": "855-940-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 FORSYTH BLVD STE 1106",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051817",
            "telephone_number": "314-296-6005",
            "fax_number": "855-940-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SOURCE CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SHAMIKKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-709-3976",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Melaine Schwaller
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• Lydia M. Seibert, P.T.
• Eva Selph
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• Bryan Norbert Sewing, D.O.
• Lydia Shaffer
• Rachael Fuller Shaffer
• Sherie Kaplan, LCSW, LLC
• Heather Nicole Shipley, BSW

• Home Health Agency in Clayton, MO
• Providers in Clayton, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.