Healthcare Provider Details

I. General information

NPI: 1518808526
Provider Name (Legal Business Name): TAILORED CONCIERGE SERVICE L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2536 S OLD HIGHWAY 94
SAINT CHARLES MO
63303-5612
US

IV. Provider business mailing address

2536 S OLD HIGHWAY 94 STE 218
SAINT CHARLES MO
63303-5612
US

V. Phone/Fax

Practice location:
  • Phone: 636-734-7334
  • Fax: 636-235-9556
Mailing address:
  • Phone: 636-734-7334
  • Fax: 636-235-9556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAURA BOLLINGER
Title or Position: OWNER
Credential:
Phone: 636-734-7334