DIVERSIFIED SUPPORT SERVICES, LLC (NPI# 1821540212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821540212 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED SUPPORT SERVICES, LLC |
| Practice Address |
3910 Kingsland Ct # 2f Saint Louis MO 63116-4432 |
| Practice Telephone | 3142978656 |
| Practice Fax Number | 3142978656 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | ANGIE M WYATT (OWNER) |
| Authorized Official Telephone | 3142978656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | LC001486661 | MO | Respite Care Facility |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Diversified Support Services, Llc. | 1272 Pennsylvania Street, Unit 19, Denver, CO 80203 |
| Street Address |
3910 KINGSLAND CT # 2F |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63116-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713395 | Trinity Cares LLC | In Home Supportive Care | 4343 Osceola, St Louis, MO 63116 | 2018-09-13 |
| 1437689213 | Veronica Leigh Delgado | Social Worker | 3430 Grace Ave, St. Louis, MO 63116 | 2017-06-14 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1639426620 | Candice Daily | Home Health | 6824 Salzburger Ave, Saint Louis, MO 63116 | 2012-08-08 |
| 1104001304 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3573 Bamberger Ave., St. Louis, MO 63116 | 2008-01-07 |
| 1053533018 | Ryan Wesley Riney | Pharmacist | 3865 Gravois, St. Louis, MO 63116 | 2007-05-02 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1750454484 | Hector Ocampo Pineda | Internal Medicine | 4460 Chippewa St, St Louis, MO 63116 | 2006-11-17 |
| 1003926130 | Ann Heath Pietroburgo | Occupational Therapist | 4600 Chippewa, Ste F, St Louis, MO 63116 | 2006-08-30 |
| 1891216776 | Sheila Edwards | Licensed Practical Nurse | 4066 Dunnica Ave, Saint Louis, MO 63116 | 2017-06-30 |
| Find all providers in zip 63116 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811351620 | Compassion Care Angels | Respite Care | 9632 Jacobi Ave Apt 4, Saint Louis, MO 63136-2938 | 2016-04-07 |
| 1922386689 | Passages Hospice of Missouri, LLC | Respite Care | 1120 S 6th St, Suite 500, Saint Louis, MO 63104-3602 | 2011-07-29 |
| 1194953968 | Tr Adult Care and Recreation Center/in Home Service | Respite Care | 1628 N 14th St, Saint Louis, MO 63106-4107 | 2009-06-30 |
| 1366500555 | Cardinal Ritter Senior Services Adult Health Day Program | Respite Care | 7663 Watson Rd, Saint Louis, MO 63119-5038 | 2006-12-04 |
| 1215936588 | Aging Well Health Care, LLC | Respite Care | 7212 Balson Ave, Saint Louis, MO 63130-3001 | 2005-07-19 |
| 1831639129 | Williams Consumers Directive, LLC | Respite Care | 716 S Florissant Rd, Saint Louis, MO 63135-2984 | 2017-03-06 |
| 1922470657 | Reliable Home Health Cds Service LLC | Respite Care | 2804 Brown Rd, Saint Louis, MO 63114-4906 | 2015-10-21 |
| 1437325586 | Maxim Healthcare Services, Inc. | Respite Care | 11330 Olive Blvd, Suite 200, Saint Louis, MO 63141-7149 | 2008-05-07 |
| 1073632949 | United Cerebral Palsy Association of Greater St. Louis | Respite Care | 8645 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989457 | Abudant Living Healthcare, LLC | Respite Care | 3151 Park Place Dr, Cape Girardeau, MO 63703-6378 | 2020-07-17 |
| 1679137954 | Stokes Angels LLC | Respite Care | 2929 S Grand Ave, Carthage, MO 64836-7803 | 2019-04-23 |
| 1881055812 | Gracie Lane Day Hab, LLC | Respite Care | Rr 81 Box 175, Koshkonong, MO 65692-8004 | 2016-03-18 |
| 1023323904 | Anita Rucker-burns | Respite Care | 9323 E 83rd St, Raytown, MO 64138-2044 | 2010-08-16 |
| 1417273210 | Tina Marie Macklin | Respite Care | 7466 Hazel Ave, Maplewood, MO 63143-3028 | 2010-04-19 |
| 1811124803 | Tender Hands Adult Health Daycare | Respite Care | 6500 Dunn Rd, Desloge, MO 63601-1539 | 2009-06-17 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| 1750532149 | Tina Rena Hartlein Dba Caring Hands In Home Care | Respite Care | 16287 Us Highway 61, Matthews, MO 63867-9120 | 2008-10-04 |
| 1124203278 | Southwest Missouri Homecare, LLC | Respite Care | 1910 E Battlefield St Ste C, Springfield, MO 65804-3878 | 2008-01-08 |
| 1760671861 | Community Choice, Inc. | Respite Care | 4218 Roanoke Rd Ste 210, Kansas City, MO 64111-4983 | 2007-10-15 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.