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NPI Code Detail

MEDICARE: CAREGIVERS CONNECTED, LLC

MEDICARE: CAREGIVERS CONNECTED, 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1538905732
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREGIVERS CONNECTED, LLC
Provider Business Mailing Address
First Line : 2536 S OLD HIGHWAY 94 STE 114
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-5627
Country : US
Telephone Number : 314-744-0815
Fax Number :
Provider Business Practice Location Address
First Line : 2536 S OLD HIGHWAY 94 STE 114
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-5627
Country : US
Telephone Number :
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CHARITY GOODWIN
Credential :
Telephone Number : 314-744-0815
Provider Enumeration Date : 07/08/2024
Last Update Date : 08/11/2024

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Directions to “CAREGIVERS CONNECTED, LLC ” Practice Location

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