Organization Active NPI

Healing Heart Direct Service Consumer LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1871113670
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING HEART DIRECT SERVICE CONSUMER LLC
Practice address
52 Arbor Village CT Apt a
Saint Louis, MO 63135-2975
Phone
(314) 224-9426
NPI assigned
Apr 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Mrs. Lydia Wilson, CMT
Title
Owner/Manager
Phone
(314) 224-9426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

52 Arbor Village CT Apt a
Saint Louis, MO 63135-2975

Mailing address

52 Arbor Village CT Apt a
Saint Louis, MO 63135-2975
Phone (314) 224-9426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1871113670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ARBOR VILLAGE CT APT A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352975",
            "telephone_number": "314-224-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ARBOR VILLAGE CT APT A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352975",
            "telephone_number": "314-224-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEART DIRECT SERVICE CONSUMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "314-224-9426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 21, 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.