OrganizationActive
Dedicated Missouri Holding, LLC
NPI 1154968196 · Non-Pharmacy Dispensing Site · Saint Louis, MO
Dedicated Missouri Holding, LLC is a Non-Pharmacy Dispensing Site organization in Saint Louis, MO (NPI 1154968196).
Provider details
- NPI number
- 1154968196
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Dedicated Missouri Holding, LLC
- Organization subpart
- Yes
- Authorized official
- Mary Chen, Owner(305) 628-6117
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3721 S Grand Blvd
Saint Louis, MO 63118-3405
Phone: (314) 328-0144
Street-level locationGet directions
Mailing address
1395 Nw 167th St
Miami Gardens, FL 33169-5710
Other names (DBA / former)
- Doing business as
- Dedicated Senior Medical Center Tower Grove
Registry dates
- Enumerated
- 2019-12-10
- Last updated
- 2020-03-31
- Certified
- 2020-03-31
Frequently asked questions
- What is Dedicated Missouri Holding, LLC's NPI number?
- Dedicated Missouri Holding, LLC's National Provider Identifier (NPI) is 1154968196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dedicated Missouri Holding, LLC?
- Dedicated Missouri Holding, LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Dedicated Missouri Holding, LLC located?
- Dedicated Missouri Holding, LLC's practice location on file with NPPES is 3721 S Grand Blvd, Saint Louis, MO 63118-3405.
- What is Dedicated Missouri Holding, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dedicated Missouri Holding, LLC is (314) 328-0144.
- Who is the authorized official for Dedicated Missouri Holding, LLC?
- The authorized official listed on Dedicated Missouri Holding, LLC's NPPES record is Mary Chen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dedicated Missouri Holding, LLC's NPI active?
- Yes — Dedicated Missouri Holding, LLC's NPI (1154968196) is active in the NPPES registry as of the last update on 2020-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.