Provider Demographics
NPI:1346662574
Name:CARE ASSIST IN-HOME SERVICES
Entity Type:Organization
Organization Name:CARE ASSIST IN-HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBROSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-564-3860
Mailing Address - Street 1:14440 FOX DOWER CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2923
Mailing Address - Country:US
Mailing Address - Phone:314-564-3860
Mailing Address - Fax:
Practice Address - Street 1:23 N OAKS PLZ STE 239
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-2996
Practice Address - Country:US
Practice Address - Phone:314-564-3860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health