GRACE CONSUMER DIRECTED SERVICES LLC NPI 1376092445

NPI Information

  • NPI: 1376092445
  • Provider Name: GRACE CONSUMER DIRECTED SERVICES LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 1600 HERITAGE LNDG STE 202A
    SAINT PETERS, MO
    ZIP 63303
  • Phone: (314) 552-1604

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NPI Details

GRACE CONSUMER DIRECTED SERVICES LLC is an adult care home custodial care facility in Saint Peters, MO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. GRACE CONSUMER DIRECTED SERVICES LLC NPI is 1376092445. The provider is registered as an organization entity type.

The provider's business location address is:

1600 HERITAGE LNDG STE 202A
SAINT PETERS, MO
ZIP 63303-488
Phone: (314) 552-1604

The provider's authorized official is Joy Katina Blair .
The authorized official title is Director and has the following contact phone number (314) 552-1604.

The enumeration date for this NPI number is 9/29/2016 and was last updated on 9/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeMISSOURIYes

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This page was last updated on: 11/21/2025

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