Active NPI
Blessed to Serve CDS LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1992394399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLESSED TO SERVE CDS LLC
- Practice address
- 5117 Lotus Ave
Saint Louis, MO 63113-1127 - Phone
- (314) 749-1293
- NPI assigned
- Jan 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Latosha Paack
- Title
- Owner
- Phone
- (314) 749-1293
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
5117 Lotus Ave
Saint Louis, MO 63113-1127
Mailing address
5117 Lotus Ave
Saint Louis, MO 63113-1127
Phone (314) 749-1293
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1992394399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5117 LOTUS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631131127",
"telephone_number": "314-749-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5117 LOTUS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631131127",
"telephone_number": "314-749-1293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSED TO SERVE CDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A",
"authorized_official_last_name": "PAACK",
"authorized_official_first_name": "LATOSHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-749-1293",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.