Healthcare Provider Details

I. General information

NPI: 1609760248
Provider Name (Legal Business Name): ADVOCARE HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 N KINGSHIGHWAY BLVD UNIT 150411
SAINT LOUIS MO
63115-4044
US

IV. Provider business mailing address

PO BOX 150411
SAINT LOUIS MO
63115-8411
US

V. Phone/Fax

Practice location:
  • Phone: 314-000-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROLANDA CREWS
Title or Position: DIRECTOR
Credential:
Phone: 314-000-0000