NPI 1215401203 · live from the CMS NPI Registry
1st Assurance Consumer Direct Services, LLC
Home Health in Saint Louis, MO. National Provider Identifier 1215401203, active.
NPI record
| NPI | 1215401203 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 5057 Gravois Ave, Saint Louis, MO 63116 |
| Practice phone | 314-390-0951 |
| Enumerated | January 14, 2019 |
| Last updated | January 14, 2019 |
| Authorized official | Desola Nunley, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.