Living Well Consumer Directed Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVING WELL CONSUMER DIRECTED SERVICES, LLC

Practice address

12082 Wesmeade Dr
Maryland Heights, MO 63043-4155

Phone

(314) 368-4003

Fax

(314) 228-0099

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Samuel Larel Sanderson

Title

Owner

Phone

(314) 368-4003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1992279434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12082 WESMEADE DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434155",
            "telephone_number": "314-368-4003",
            "fax_number": "314-228-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12082 WESMEADE DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434155",
            "telephone_number": "314-368-4003",
            "fax_number": "314-228-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CONSUMER DIRECTED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LAREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-368-4003"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Leary, PNP
• Susan Lenny, PHARM.D.
• Amy Renee Leuthauser, BCBA
• Phylicia Little, FNP-BC
• Ashley Liu, PHARMD
• Alma Katigbak Lopez, OTR
• Leonard G Lucas, DO
• Mac RX of Missouri, LLC
• Pamela Michelle Macon, MPT
• Magellan Health Services

• Home Health Agency in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.