=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104221290
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WE CARE FOR U WITH QUALITY SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/31/2014
-----------------------------------------------------
Last Update Date | 08/09/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5261 DELMAR BLVD SUITE 216
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63108-1063
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-745-4834
-----------------------------------------------------
Fax | 314-627-0836
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5261 DELMAR BLVD SUITE 216
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-745-4834
-----------------------------------------------------
Fax | 314-329-3306
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MS. ADRIENNE BROWN
-----------------------------------------------------
Credential | PRESIDENT
-----------------------------------------------------
Telephone | 314-745-4834
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------