Provider Demographics
NPI:1235575796
Name:WESTPLEX HOME CARE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:WESTPLEX HOME CARE ENTERPRISES, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-695-4422
Mailing Address - Street 1:202 TRIAD CTR W
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-7543
Mailing Address - Country:US
Mailing Address - Phone:636-695-4422
Mailing Address - Fax:636-487-0242
Practice Address - Street 1:202 TRIAD CTR W
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-7543
Practice Address - Country:US
Practice Address - Phone:636-695-4422
Practice Address - Fax:636-487-0242
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREE REIGN ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care