NPIMap

Organization Active NPI

A'Miracle Consumer Directed Service

Doing business as A'Miracle CDS

  • Health Maintenance Organization
  • Bridgeton, MO
National Provider Identifier
1801160080
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
A'MIRACLE CONSUMER DIRECTED SERVICE
Doing business as
A'Miracle CDS
Practice address
3161 A Fee Fee Rd Ste a
Bridgeton, MO 63044
Phone
(314) 222-8137
Fax
(314) 222-3568
NPI assigned
Mar 6, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Venolia Antionette Weaver
Title
Ceo/Vendor
Phone
(314) 649-7736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MO Primary

Addresses

Primary practice location

3161 A Fee Fee Rd Ste a
Bridgeton, MO 63044

Mailing address

3161 A Fee Fee Rd Ste a
Bridgeton, MO 63044
Phone (314) 222-8137

Other names 1

  • A'Miracle CDS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A'Miracle CDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3161A Fee Fee Rd
Ste A
Bridgeton, MO 63044
Phone (314) 222-8137

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801160080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 A FEE FEE RD STE A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-222-8137",
            "fax_number": "314-222-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 A FEE FEE RD STE A",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-222-8137",
            "fax_number": "314-222-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A'MIRACLE CONSUMER DIRECTED SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "VENOLIA",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "CEO/VENDOR",
        "authorized_official_telephone_number": "314-649-7736",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A'Miracle CDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A'Miracle CDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.