Provider Demographics
NPI:1487407250
Name:ELMS CONSUMER DIRECTED SERVICES LLC
Entity type:Organization
Organization Name:ELMS CONSUMER DIRECTED SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EURSULA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-277-1005
Mailing Address - Street 1:2065 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-1225
Mailing Address - Country:US
Mailing Address - Phone:314-277-1005
Mailing Address - Fax:314-222-3498
Practice Address - Street 1:2065 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033
Practice Address - Country:US
Practice Address - Phone:314-277-1005
Practice Address - Fax:314-222-3498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care