Provider Demographics
NPI:1003531427
Name:LW CONCIERGE NURSE ADVOCATES LLC
Entity Type:Organization
Organization Name:LW CONCIERGE NURSE ADVOCATES LLC
Other - Org Name:LIFESTYLE CAREGIVING OF MISSOURI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & CHIEF CAREGIVING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LNC, LTCP
Authorized Official - Phone:314-802-6231
Mailing Address - Street 1:8011 CLAYTON RD STE 209
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1156
Mailing Address - Country:US
Mailing Address - Phone:314-802-6231
Mailing Address - Fax:
Practice Address - Street 1:8011 CLAYTON RD STE 209
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1156
Practice Address - Country:US
Practice Address - Phone:314-802-6231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LW CONCIERGE NURSE ADVOCATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-07
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care