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General NPI Number Information
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NPI Number | 1669169686
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CARETAKERS LLC
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 78 TUSCANY TRACE DR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-4238
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Country | US
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Telephone | 314-541-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 MCKELVEY RD STE 203
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City | BRIDGETON
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State | MO
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Zip | 63044-4073
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Country | US
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Telephone | 314-541-0448
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VALERIE STEWART
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Credential |
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Telephone | 314-541-0448
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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