MEDICARE: PATIENT CARE PROFESSIONALS INC

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	267594	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295728616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT CARE PROFESSIONALS INC

Provider Business Mailing Address
First Line	:	301 SOVEREIGN CT
Second Line	:	SUITE 102
City	:	BALLWIN
State	:	MO
Zip	:	63011-4441
Country	:	US
Telephone Number	:	636-227-0722
Fax Number	:	636-227-0730

Provider Business Practice Location Address
First Line	:	301 SOVEREIGN CT
Second Line	:	SUITE 102
City	:	BALLWIN
State	:	MO
Zip	:	63011-4441
Country	:	US
Telephone Number	:	636-227-0722
Fax Number	:	636-227-0730

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MILLIE A SAEGER
Credential	:
Telephone Number	:	636-227-2722

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/22/2023

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