Live Independent Consumer Direct LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIVE INDEPENDENT CONSUMER DIRECT LLC

Practice address

320 Brookes Dr Ste 203
Hazelwood, MO 63042-2740

Phone

(314) 680-1976

Fax

(314) 551-9881

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Maury Clay

Title

Director/Owner

Phone

(314) 680-1976

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1871884627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 203",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422740",
            "telephone_number": "314-680-1976",
            "fax_number": "314-551-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BROOKES DR STE 203",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422740",
            "telephone_number": "314-680-1976",
            "fax_number": "314-551-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE INDEPENDENT CONSUMER DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MAURY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "314-680-1976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.