Provider Demographics
NPI:1275028094
Name:SMARTCARE CONSULTANTS, LLC
Entity Type:Organization
Organization Name:SMARTCARE CONSULTANTS, LLC
Other - Org Name:SMARTCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:MERRELL
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-503-8844
Mailing Address - Street 1:3565 FRANKS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-4041
Mailing Address - Country:US
Mailing Address - Phone:855-878-3762
Mailing Address - Fax:636-329-4527
Practice Address - Street 1:3565 FRANKS DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-4041
Practice Address - Country:US
Practice Address - Phone:855-878-3762
Practice Address - Fax:636-329-4527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC1263021320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities