Healthcare Provider Details

I. General information

NPI: 1245521327
Provider Name (Legal Business Name): CARE OPTIONS ONE, LC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3624 N SPRING AVE
SAINT LOUIS MO
63107-2220
US

IV. Provider business mailing address

2819 UNION BLVD
SAINT LOUIS MO
63115-1002
US

V. Phone/Fax

Practice location:
  • Phone: 314-652-2552
  • Fax: 314-652-2599
Mailing address:
  • Phone: 314-652-2552
  • Fax: 314-652-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number931
License Number StateMO

VIII. Authorized Official

Name: MS. BARBARA D SMITH-MILLER
Title or Position: CEO / OWNER
Credential:
Phone: 314-652-2552