Healthcare Provider Details

I. General information

NPI: 1528016714
Provider Name (Legal Business Name): ABF/ROMCARE HEALTH SERVICES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12984 MAURER INDUSTRIAL DR SUITE A
SUNSET HILLS MO
63127-1554
US

IV. Provider business mailing address

12984 MAURER INDUSTRIAL DR SUITE A
SUNSET HILLS MO
63127-1554
US

V. Phone/Fax

Practice location:
  • Phone: 314-842-6750
  • Fax: 314-842-6761
Mailing address:
  • Phone: 314-842-6750
  • Fax: 314-842-6761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES E PERRY JR.
Title or Position: MANAGING PARTNER
Credential:
Phone: 314-842-6750