Provider Demographics
NPI:1003006263
Name:THOMAS BUSINESS ENTERPRISES, INC
Entity Type:Organization
Organization Name:THOMAS BUSINESS ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-382-9700
Mailing Address - Street 1:910 S FLORISSANT RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63135-3255
Mailing Address - Country:US
Mailing Address - Phone:314-382-9700
Mailing Address - Fax:314-385-2500
Practice Address - Street 1:910 S FLORISSANT RD STE 100
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63135-3255
Practice Address - Country:US
Practice Address - Phone:314-382-9700
Practice Address - Fax:314-385-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO26D0921638251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO283934503Medicaid
MO263934507Medicaid