MEDICARE: SMARTCOMPANION CARE 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333300000X	Emergency Response System Companies

General Provider Information

NPI Number	:	1710660444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMARTCOMPANION CARE LLC

Provider Business Mailing Address
First Line	:	11975 WESTLINE INDUSTRIAL DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3203
Country	:	US
Telephone Number	:	314-514-2444
Fax Number	:

Provider Business Practice Location Address
First Line	:	11975 WESTLINE INDUSTRIAL DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3203
Country	:	US
Telephone Number	:	314-514-2444
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID LAIDERMAN
Credential	:
Telephone Number	:	314-514-2444

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	06/12/2024

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Directions to “SMARTCOMPANION CARE LLC ” Practice Location

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