Healthcare Provider Details

I. General information

NPI: 1003088998
Provider Name (Legal Business Name): CRAIG RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11116 S TOWNE SQ STE 101
SAINT LOUIS MO
63123-7809
US

IV. Provider business mailing address

2800 CLEVELAND AVE N
ROSEVILLE MN
55113-1126
US

V. Phone/Fax

Practice location:
  • Phone: 314-843-0316
  • Fax: 314-843-0337
Mailing address:
  • Phone: 651-642-1825
  • Fax: 651-638-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0009412
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. CAMEO ZEHNDER
Title or Position: VP OF QUALITY AND COMPLIANCE
Credential:
Phone: 651-642-1825