SENIOR SOURCE, LLC
NPI 1801447016
Home Health in Saint Louis, MO

Q: What is Senior Source, LLC's NPI number?

The NPI number for Senior Source, LLC is 1801447016. It was assigned to this organization in the NPPES registry on September 28, 2019.

Q: What is Senior Source, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since September 28, 2019

1521 FATHOM DR, SAINT LOUIS, MO 63137(314) 278-8006 Get Directions Write a Review

NPPES record last updated: September 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Senior Source, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENIOR SOURCE, LLC (NPI 1801447016) is a healthcare organization registered as a home health in Saint Louis, Missouri and active in the NPI registry since September 2019. The organization lists Shamikka Carlson, Executive Owner, as its authorized official.

NPPES Registry Identity

NPI1801447016

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSENIOR SOURCE, LLC

Location Address1521 FATHOM DRSaint Louis, MO 63137-1549

Mailing Address1521 Fathom DrSaint Louis, MO 63137-1549 · (314) 278-8006

Phone(314) 278-8006

Organization SubpartNo

Authorized OfficialShamikka CarlsonExecutive Owner · (314) 278-8006

Enumeration DateSeptember 28, 2019

✔ NPI 1801447016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1521 FATHOM DR, Saint Louis, MO 63137

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Senior Source, LLC's NPI number?

The NPI number for Senior Source, LLC is 1801447016. It was assigned to this organization in the NPPES registry on September 28, 2019.

Where is Senior Source, LLC located?

Senior Source, LLC is located at 1521 Fathom Dr, Saint Louis, MO 63137. The listed phone number is (314) 278-8006.

What is Senior Source, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Senior Source, LLC was last updated on September 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.