Provider Demographics
NPI:1003247669
Name:S & R HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:S & R HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-501-4090
Mailing Address - Street 1:3600 NAMEOKI RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GRANITE CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62040-3723
Mailing Address - Country:US
Mailing Address - Phone:618-501-4090
Mailing Address - Fax:618-501-4091
Practice Address - Street 1:3600 NAMEOKI RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040-3723
Practice Address - Country:US
Practice Address - Phone:618-501-4090
Practice Address - Fax:618-501-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health