Provider Demographics
NPI:1053815738
Name:ST. LOUIS HOME CARE PROVIDERS INC.
Entity Type:Organization
Organization Name:ST. LOUIS HOME CARE PROVIDERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAGOW
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-745-7294
Mailing Address - Street 1:1451 MULLANPHY ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-3114
Mailing Address - Country:US
Mailing Address - Phone:800-991-7640
Mailing Address - Fax:888-504-9013
Practice Address - Street 1:1451 MULLANPHY ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-3114
Practice Address - Country:US
Practice Address - Phone:800-991-7640
Practice Address - Fax:888-504-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health