MEDICARE: CARE GIVERS OF CHRIST 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	253Z00000X	In Home Supportive Care Agency	20115725	MO

General Provider Information

NPI Number	:	1689825127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE GIVERS OF CHRIST INC

Provider Business Mailing Address
First Line	:	6000 WESTMINSTER PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-1412
Country	:	US
Telephone Number	:	314-504-5332
Fax Number	:	314-721-3959

Provider Business Practice Location Address
First Line	:	6000 WESTMINSTER PL
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63112-1412
Country	:	US
Telephone Number	:	314-504-5332
Fax Number	:	314-721-3959

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LEDA HARRIS
Credential	:	MASTERS OF ARTS
Telephone Number	:	314-504-5332

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	10/02/2008

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