=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245031681
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING 4 U HOME HEALTH KC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2025
-----------------------------------------------------
Last Update Date | 03/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7280 NW 87TH TER STE C-210
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64153-3720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-774-5279
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 929 N SPRING AVE STE C4A
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63108-3629
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-774-5279
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | REGINALD COOPER JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-774-5279
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------