Living Well Consumer Directed Services, LLC
Home Health in Maryland Heights, MO. Organization (NPI-2).
Details
- NPI
- 1992279434
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Well Consumer Directed Services, LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2019
- Last updated
- Jan 17, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
12082 Wesmeade DrMaryland Heights, MO 63043-4155
Phone 314-368-4003 · Fax 314-228-0099
Mailing address
12082 Wesmeade DrMaryland Heights, MO 63043-4155
Phone 314-368-4003 · Fax 314-228-0099
Authorized official
Samuel Larel Sanderson
Owner
3143684003
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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