=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740828482
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEVER ALONE HEALTH SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2019
-----------------------------------------------------
Last Update Date | 12/12/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 SHADOW CREEK DR
-----------------------------------------------------
City | SAINT PETERS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63376-2357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-697-6245
-----------------------------------------------------
Fax | 636-244-3222
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 SHADOW CREEK DR
-----------------------------------------------------
City | SAINT PETERS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63376-2357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-697-6245
-----------------------------------------------------
Fax | 636-244-3222
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CASSANDRA THOMAS-MALONE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 636-697-6245
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------