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General NPI Number Information
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NPI Number | 1154196954
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Entity Type | Organization
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Legal Business Name | CASA D'LUXE PROPERTIES LLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1360 S 5TH ST OFC 336E
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2486
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Country | US
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Telephone | 636-573-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 S 5TH ST OFC 336E
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2486
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Country | US
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Telephone | 636-573-2100
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JACQUELINE WILLIAMS
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Credential |
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Telephone | 314-249-6083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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