Best Life CDS LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEST LIFE CDS LLC

Doing business as

Best Life CDS LLC

Practice address

4780 Trees Edge LN
Black Jack, MO 63033-4574

Phone

(314) 853-9312

Fax

(314) 656-1535

NPI assigned

Dec 13, 2020

Last updated

Dec 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maurice Hendricks

Title

Executive Director

Phone

(314) 853-9312

Specialties & licenses 1

Addresses

Other names 1

• Best Life CDS LLC Doing business as

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1891381919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 TREES EDGE LN",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334574",
            "telephone_number": "314-853-9312",
            "fax_number": "314-656-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 TREES EDGE LN",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630334574",
            "telephone_number": "314-853-9312",
            "fax_number": "314-656-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LIFE CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-853-9312"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Life CDS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.