MEDICARE: INTIMATE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1114771060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTIMATE CARE LLC

Provider Business Mailing Address
First Line	:	2258 SCHUETZ RD STE 114
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3424
Country	:	US
Telephone Number	:	314-745-2926
Fax Number	:	314-528-6365

Provider Business Practice Location Address
First Line	:	2258 SCHUETZ RD STE 114
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3424
Country	:	US
Telephone Number	:	314-745-2926
Fax Number	:	314-528-6365

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TEARE MCALLISTER
Credential	:
Telephone Number	:	314-745-2926

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/16/2024

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Directions to “INTIMATE CARE LLC ” Practice Location

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