Organization Active NPI

TKB Home Care CDS LLC

  • Nursing Care Agency
  • Florissant, MO
National Provider Identifier
1851844567
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
TKB HOME CARE CDS LLC
Practice address
580 N Highway 67 St
Suite 6a
Florissant, MO 63031-5130
Phone
(314) 839-1210
Fax
(314) 831-3577
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Lakesha Whitt
Title
Office Manager
Phone
(314) 839-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

580 N Highway 67 St
Suite 6a
Florissant, MO 63031-5130

Mailing address

580 N Highway 67 St
Suite 6a
Florissant, MO 63031-5130

Other identifiers 1

IdentifierTypeStateIssuer
0016619MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1851844567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N HIGHWAY 67 ST",
            "address_2": "SUITE 6A",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N HIGHWAY 67 ST",
            "address_2": "SUITE 6A",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315130",
            "telephone_number": "314-839-1210",
            "fax_number": "314-831-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKB HOME CARE CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "WHITT",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-839-1210"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016619",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.