Healthcare Provider Details

I. General information

NPI: 1629481148
Provider Name (Legal Business Name): CARUS HOSPICE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 06/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11440 OLIVE BLVD SUITE 200
SAINT LOUIS MO
63141-7109
US

IV. Provider business mailing address

11440 OLIVE BLVD SUITE 200
SAINT LOUIS MO
63141-7109
US

V. Phone/Fax

Practice location:
  • Phone: 314-918-7171
  • Fax: 314-513-9950
Mailing address:
  • Phone: 314-918-7171
  • Fax: 314-513-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PATTI FRY
Title or Position: CFO
Credential:
Phone: 314-918-7171