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General NPI Number Information
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NPI Number | 1346787421
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Entity Type | Organization
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Legal Business Name | MEMORY CARE HOME SOLUTIONS
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 4389 W PINE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2205
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Country | US
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Telephone | 314-645-6247
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Fax | 314-645-6249
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Provider Business Mailing Address
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Address Line | 4389 W PINE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2205
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Country | US
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Telephone | 314-645-6247
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Fax | 314-645-6249
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. JILL CIGLIANA
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Credential | MSOT, OTR/L
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Telephone | 314-645-6247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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