NPIMap

Organization Active NPI

Mi Amor CDS LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1780412080
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MI AMOR CDS LLC
Practice address
2200 W Port Plaza Dr Ste 300
Saint Louis, MO 63146-3211
Phone
(314) 750-6612
NPI assigned
Jul 26, 2024
Organization subpart
Yes
Parent organization
MI AMOR CDS - 2As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Bryant Davis
Title
Owner
Phone
(314) 750-6612

Specialties & licenses 1

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

Addresses

Primary practice location

2200 W Port Plaza Dr Ste 300
Saint Louis, MO 63146-3211

Mailing address

2200 W Port Plaza Dr Ste 300
Saint Louis, MO 63146-3211

Other names 2

  • Mi Amor CDS - 2 Former legal business name
  • Mi Amor CDS LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Mi Amor CDS LLC2 organizations share this tax ID, including this one
Part of
Mi Amor CDS LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1780412080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W PORT PLAZA DR STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W PORT PLAZA DR STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463211",
            "telephone_number": "314-750-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI AMOR CDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MI AMOR CDS - 2",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-750-6612"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Amor CDS - 2",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mi Amor CDS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 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.