Organization Active NPI

Heart Care Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1982105458
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HEART CARE CENTER, LLC
Practice address
450 N New Ballas Rd Ste 270
Saint Louis, MO 63141-6835
Phone
(314) 993-6969
NPI assigned
Feb 21, 2018
Organization subpart
Yes
Parent organization
ST LUKES EPISCOPAL PRESBYTERIAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Scott Johnson
Title
Sr. VP & Cfo
Phone
(314) 434-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

450 N New Ballas Rd Ste 270
Saint Louis, MO 63141-6835

Mailing address

450 N New Ballas Rd Ste 270
Saint Louis, MO 63141-6835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180829001436 MO Part B Supplier - Ambulatory Surgical Center 7315208469 Practice locations: Saint Louis, MO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Heart Care Center LLCCCN 26C0001153
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2097526Heart Care Center, LLC450 N New Ballas Road, Suite 206 South Wing, Saint Louis, MO 63141Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory
Part of
Steven F Willey MD

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1982105458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 270",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 270",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-993-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SR. VP & CFO",
        "authorized_official_telephone_number": "314-434-1500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.