ICU CDS

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ICU CDS

Practice address

4069 Ashbury Crossing Dr
Florissant, MO 63034

Phone

(314) 550-1184

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Nyakio Powell

Title

Owner

Phone

(314) 550-1184

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1821583600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 ASHBURY CROSSING DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342884",
            "telephone_number": "314-550-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 ASHBURY CROSSING DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63034",
            "telephone_number": "314-550-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICU CDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "NYAKIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-550-1184"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83060235",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Steen Hutson
• Kelsie Hutson, PHARMD
• Donna Maria Hykes
• Hypno Loops Inc
• Iconic Health Agency
• Ihelp Health Care Solutions LLC
• Ornela Claude Ika, APRN, PMHNP-BC
• Imani Counseling and Consulting Services
• Imani Personal Care Homes
• Imperial Home Care, LLC

• Home Health Agency in Florissant, MO
• Providers in Florissant, 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 Oct 20, 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.