Healthcare Provider Details

I. General information

NPI: 1255655254
Provider Name (Legal Business Name): ACCURATE IN-HOME FAMILY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 04/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 YUKON DR
SAINT LOUIS MO
63137-1142
US

IV. Provider business mailing address

1215 YUKON DR
SAINT LOUIS MO
63137-1142
US

V. Phone/Fax

Practice location:
  • Phone: 314-625-3652
  • Fax: 888-291-8243
Mailing address:
  • Phone: 314-625-3652
  • Fax: 888-291-8243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number253Z00000X - IN HOME
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH LOUIS SCRUGGS JR.
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 314-625-3652