Provider Demographics
NPI:1003937608
Name:CARE AT HOME, LLC
Entity Type:Organization
Organization Name:CARE AT HOME, LLC
Other - Org Name:COMFORCARE SENIOR SERVICES - ST LOUIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:JARVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-965-9600
Mailing Address - Street 1:11780 MANCHESTER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DES PERES
Mailing Address - State:MO
Mailing Address - Zip Code:63131-4600
Mailing Address - Country:US
Mailing Address - Phone:314-965-9600
Mailing Address - Fax:314-965-9605
Practice Address - Street 1:11780 MANCHESTER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131-4600
Practice Address - Country:US
Practice Address - Phone:314-965-9600
Practice Address - Fax:314-965-9605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO486251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health