OrganizationActive
Dedicated Missouri Holding, LLC
NPI 1790317402 · Non-Pharmacy Dispensing Site · Saint Louis, MO
Provider details
- NPI number
- 1790317402
- 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
175 N Oaks Plz
Saint Louis, MO 63121-2925
Phone: (314) 328-0144
Street-level locationGet directions
Mailing address
1395 Ne 167th St
Miami, FL 33162-2744
Other names (DBA / former)
- Doing business as
- Dedicated Senior Medical Center North St. Louis
Registry dates
- Enumerated
- 2020-02-10
- Last updated
- 2020-02-10
- Certified
- 2020-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.