Healthcare Provider Details

I. General information

NPI: 1851343883
Provider Name (Legal Business Name): ADULT CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CLAYTON COURT DR
SAINT LOUIS MO
63131-2524
US

IV. Provider business mailing address

4 CLAYTON COURT DR
SAINT LOUIS MO
63131-2524
US

V. Phone/Fax

Practice location:
  • Phone: 314-692-0092
  • Fax: 314-692-0095
Mailing address:
  • Phone: 314-368-3422
  • Fax: 314-692-0095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2001008540
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ZAHIRUL HAQUE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 314-368-3422