LEGACY CONSUMER DIRECTED SERVICES LLC
NPI 1306277652
In Home Supportive Care in Saint Louis, MO

Active since December 11, 2013
111 W PORT PLZ, 600, SAINT LOUIS, MO 63146(314) 478-4188(314) 542-1542 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About LEGACY CONSUMER DIRECTED SERVICES LLC

This page provides the complete NPI Profile along with additional information for Legacy Consumer Directed Services Llc, a provider established in Saint Louis, Missouri operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1306277652 assigned on December 2013. The practitioner's primary taxonomy code is 253Z00000X with license number 000090 (MO). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Zamika A Walls (Director)

NPI
1306277652 Verify this NPI
Provider Name
LEGACY CONSUMER DIRECTED SERVICES LLC
Entity Type
Organization
Location Address
111 W PORT PLZ 600 SAINT LOUIS, MO 63146
Location Phone
(314) 478-4188
Location Fax
(314) 542-1542
Mailing Address
111 W PORT PLZ 600 SAINT LOUIS, MO 63146
Mailing Phone
(314) 478-4188
Mailing Fax
(314) 542-1542
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2013
Last Update Date
12-11-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
000090
License State
MO
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ZAMIKA A WALLS

Authorized Official Title
DIRECTOR
Authorized Official Phone
(314) 478-4188

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Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
111 W PORT PLZ, 6TH FLOOR
SAINT LOUIS, MO 63146
In Home Supportive Care
111 W PORT PLZ, 6TH FLOOR, STE. 600
SAINT LOUIS, MO 63146
In Home Supportive Care
111 W PORT PLZ, SUTIE 600
SAINT LOUIS, MO 63146
In Home Supportive Care
111 W PORT PLZ
SAINT LOUIS, MO 63146
Technician (Personal Care Attendant)
111 W PORT PLZ, 600
SAINT LOUIS, MO 63146
Home Health
111 W PORT PLZ
SAINT LOUIS, MO 63146
Home Health
111 W PORT PLZ, SUITE 600
SAINT LOUIS, MO 63146
In Home Supportive Care
111 W PORT PLZ, SUITE 600
SAINT LOUIS, MO 63146
Home Health
111 W PORT PLZ
SAINT LOUIS, MO 63146
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
111 W PORT PLZ
SAINT LOUIS, MO 63146
Social Worker (Clinical)
111 W PORT PLZ
SAINT LOUIS, MO 63146
Counselor (Professional)
111 W PORT PLZ
SAINT LOUIS, MO 63146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306277652, enumerated as an "organization" on December 11, 2013.

The provider is located at 111 W PORT PLZ 600 SAINT LOUIS, MO 63146 and the phone number is (314) 478-4188.

In Home Supportive Care with taxonomy code 253Z00000X.