MEDICARE: PARAQUAD INC

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		MO
2	332BC3200X	Customized Equipment (DME)	N00010469	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801927298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAQUAD INC

Provider Business Mailing Address
First Line	:	5240 OAKLAND
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1720
Country	:	US
Telephone Number	:	314-289-4200
Fax Number	:	314-289-4346

Provider Business Practice Location Address
First Line	:	5240 OAKLAND
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1720
Country	:	US
Telephone Number	:	314-289-4200
Fax Number	:	314-289-4346

Authorized Official
Title or Position	:	CEO
Name	:	MRS. AIMEE WEHMEIER
Credential	:
Telephone Number	:	314-289-4218

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	11/02/2016

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Directions to “PARAQUAD INC ” Practice Location

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