Active NPI
TKB Home Care CDS LLC
- Nursing Care Agency
- Florissant, MO
National Provider Identifier
1851844567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016619 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI 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.