Provider Demographics
NPI:1154671675
Name:STEEPLES HEALTHCARE CDS LLC
Entity Type:Organization
Organization Name:STEEPLES HEALTHCARE CDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-867-9500
Mailing Address - Street 1:1920 MORA LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-3723
Mailing Address - Country:US
Mailing Address - Phone:314-867-9500
Mailing Address - Fax:314-867-9501
Practice Address - Street 1:1920 MORA LN
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-3723
Practice Address - Country:US
Practice Address - Phone:314-867-9500
Practice Address - Fax:314-867-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000165275253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care