Provider Demographics
NPI:1336106756
Name:CONSOLIDATED HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CONSOLIDATED HEALTH SERVICES INC
Other - Org Name:CONSOLIDATED HOME HEALTH INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAVAL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SETHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-822-2900
Mailing Address - Street 1:13100 MANCHESTER RD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-822-2900
Mailing Address - Fax:314-822-3203
Practice Address - Street 1:13100 MANCHESTER RD
Practice Address - Street 2:#175
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131
Practice Address - Country:US
Practice Address - Phone:314-822-2900
Practice Address - Fax:314-822-3203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO44911251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO587912601Medicaid
MO267468Medicare ID - Type Unspecified