Healthcare Provider Details

I. General information

NPI: 1437075710
Provider Name (Legal Business Name): CASA D'LUXE PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 S 5TH ST OFC 336E
SAINT CHARLES MO
63301-2486
US

IV. Provider business mailing address

1360 S 5TH ST OFC 336E
SAINT CHARLES MO
63301-2486
US

V. Phone/Fax

Practice location:
  • Phone: 636-573-2100
  • Fax: 636-395-7077
Mailing address:
  • Phone: 636-573-2100
  • Fax: 636-395-7077

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: JACQUELINE WILLIAMS
Title or Position: OWNER
Credential:
Phone: 314-585-0592