Organization Active NPI

Haven of Grooming

Doing business as Groom Theory

  • Prosthetics Case Management
  • Florissant, MO
National Provider Identifier
1932625415
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
2015000333 Issued in MO
Legal business name
HAVEN OF GROOMING
Doing business as
Groom Theory
Practice address
51 Florissant Oaks Shop Center
Florissant, MO 63031
Phone
(314) 933-6883
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Trinita Hobbs
Title
Manager
Phone
(314) 606-9754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X 2015000333 MO Primary

Addresses

Primary practice location

51 Florissant Oaks Shop Center
Florissant, MO 63031

Mailing address

51 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934
Phone (314) 933-6883

Other names 1

  • Groom Theory Doing business as

National Provider Directory

National Provider Directory

Locations

51 Florissant Oaks Shop Ctr
Florissant, MO 63031
Phone (314) 933-6883

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932625415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FLORISSANT OAKS SHOP CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313934",
            "telephone_number": "314-933-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FLORISSANT OAKS SHOP CENTER",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-933-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF GROOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "TRINITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-606-9754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MO",
            "license": "2015000333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groom Theory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.