Healthcare Provider Details

I. General information

NPI: 1205157112
Provider Name (Legal Business Name): CARING AID IN-HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 N OAKS PLZ STE 239
SAINT LOUIS MO
63121-2996
US

IV. Provider business mailing address

6544 DALLAVIS DR
FLORISSANT MO
63033-7906
US

V. Phone/Fax

Practice location:
  • Phone: 314-568-7653
  • Fax:
Mailing address:
  • Phone: 314-568-7653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARIE TAYLOR
Title or Position: OWNER
Credential:
Phone: 314-568-7653