MEDICARE: WE ARE THE VILLAGE CONSUMER DIRECT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1689532095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE ARE THE VILLAGE CONSUMER DIRECT SERVICES LLC

Provider Business Mailing Address
First Line	:	9021 RIVERVIEW DR STE 214-215
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-2424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9021 RIVERVIEW DR STE 214-215
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63137-2424
Country	:	US
Telephone Number	:	314-319-5400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JUDY V HICKS
Credential	:
Telephone Number	:	314-598-7636

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/14/2026

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