MEDICARE: PARAQUAD IN-HOME SERVICES

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	385HR2065X	Child Physical Disabilities Respite Care
2	3747P1801X	Personal Care Attendant

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	:	1588815153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARAQUAD IN-HOME SERVICES

Provider Business Mailing Address
First Line	:	5240 OAKLAND AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1436
Country	:	US
Telephone Number	:	314-289-4200
Fax Number	:	314-289-4201

Provider Business Practice Location Address
First Line	:	5240 OAKLAND AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1436
Country	:	US
Telephone Number	:	314-289-4200
Fax Number	:	314-289-4201

Authorized Official
Title or Position	:	CEO
Name	:	MR. ROBERT FUNK
Credential	:
Telephone Number	:	314-289-4200

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	09/29/2025

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Directions to “PARAQUAD IN-HOME SERVICES ” Practice Location

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