MEDICARE: MISSOURI IV THERAPY 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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1710821558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSOURI IV THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	111 W PORT PLZ STE 650
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3011
Country	:	US
Telephone Number	:	224-390-0191
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 W PORT PLZ STE 650
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3011
Country	:	US
Telephone Number	:	224-390-0191
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF INVENTORY
Name	:	ELIYAHU YITZHAK CARUTHERS
Credential	:
Telephone Number	:	224-390-0191

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

Similar Medicare Providers

1285145748 — MR. JERMAINE ANDRE WATSON LPC
Practice Location Address:

111 W PORT PLZ
SAINT LOUIS, MO
63146-3011

Practice Phone: 314-749-0760
Practice Fax: 636-333-0029

1477867034 — MD2U MISSOURI LLC
Practice Location Address:

111 W PORT PLZ , 6TH FLOOR
SAINT LOUIS, MO
63146-3011

Practice Phone: 502-327-9100
Practice Fax: 502-618-4990

1992086003 — MARK AND JULIE MANN LLC
Practice Location Address:

111 W PORT PLZ , 6TH FLOOR, STE. 600
SAINT LOUIS, MO
63146-3011

Practice Phone: 314-813-9505
Practice Fax:

1962784256 — AUDRA BELL
Practice Location Address:

111 W PORT PLZ
SAINT LOUIS, MO
63146-3011

Practice Phone: 323-205-7088
Practice Fax:

1821338583 — ALWAYS BEST CARE OF MIDTOWN ST. LOUIS, LLC
Practice Location Address:

111 W PORT PLZ , SUTIE 600
SAINT LOUIS, MO
63146-3011

Practice Phone: 314-542-3112
Practice Fax: 314-542-3111

1306277652 — LEGACY CONSUMER DIRECTED SERVICES LLC
Practice Location Address:

111 W PORT PLZ , 600
SAINT LOUIS, MO
63146-3011

Practice Phone: 314-478-4188
Practice Fax: 314-542-1542

Directions to “MISSOURI IV THERAPY SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.