Laclede Groves
NPI 1457924755ActiveOrganization· Licensed Practical Nurse· Saint Louis, MO
Licensed Practical Nurse in Saint Louis, Missouri, registered in NPPES in July 2021. The authorized official on file is Otha Thomas, LPN, Director Of Health Services.
Overview
| NPI | 1457924755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2021 |
| Last updated in NPPES | Jul 23, 2021 |
| Certified by provider | Jul 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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