Healthcare Provider Details

I. General information

NPI: 1205681558
Provider Name (Legal Business Name): SHE CARES 4 U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2024
Last Update Date: 04/20/2024
Certification Date: 04/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9860 JEFFREY DRIVE
ST. LOUIS MO
63137
US

IV. Provider business mailing address

9860 JEFFREY DRIVE
ST. LOUIS MO
63137
US

V. Phone/Fax

Practice location:
  • Phone: 314-398-9326
  • Fax: 636-206-8451
Mailing address:
  • Phone: 314-398-9326
  • Fax: 636-206-8451

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: TIFFINY JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-398-9326