MEDICARE: CAREGIVERS UNITED 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1295334712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREGIVERS UNITED LLC

Provider Business Mailing Address
First Line	:	2441 SAINT CYR RD
Second Line	:
City	:	JENNINGS
State	:	MO
Zip	:	63136-5218
Country	:	US
Telephone Number	:	314-724-3101
Fax Number	:

Provider Business Practice Location Address
First Line	:	2441 SAINT CYR RD
Second Line	:
City	:	JENNINGS
State	:	MO
Zip	:	63136-5218
Country	:	US
Telephone Number	:	314-724-3101
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NAJAE N POWELL
Credential	:
Telephone Number	:	314-724-3101

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	10/26/2020

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Directions to “CAREGIVERS UNITED LLC ” Practice Location

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