Provider Demographics
NPI:1114771060
Name:INTIMATE CARE LLC
Entity Type:Organization
Organization Name:INTIMATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEARE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-745-2926
Mailing Address - Street 1:2258 SCHUETZ RD STE 114
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3424
Mailing Address - Country:US
Mailing Address - Phone:314-745-2926
Mailing Address - Fax:314-528-6365
Practice Address - Street 1:2258 SCHUETZ RD STE 114
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3424
Practice Address - Country:US
Practice Address - Phone:314-745-2926
Practice Address - Fax:314-528-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies