Organization Active NPI

Crenshaw Medical Supply LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1891359170
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRENSHAW MEDICAL SUPPLY LLC
Practice address
2429 Southwind Meadows CT
Saint Louis, MO 63129-3647
Phone
(314) 403-3801
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mrs. Cherri Ann Crenshaw
Title
President
Phone
(314) 403-3801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2429 Southwind Meadows CT
Saint Louis, MO 63129-3647

Mailing address

2429 Southwind Meadows CT
Saint Louis, MO 63129-3647
Phone (314) 403-3801

Other names 1

  • CRENSHAW MEDICAL SUPPLY LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1891359170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 SOUTHWIND MEADOWS CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293647",
            "telephone_number": "314-403-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 SOUTHWIND MEADOWS CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293647",
            "telephone_number": "314-403-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENSHAW MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "CHERRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-403-3801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRENSHAW MEDICAL SUPPLY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2019; 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.