Provider Demographics
NPI:1346748167
Name:CARDINAL HOME CARE & SENIOR SERVICES
Entity Type:Organization
Organization Name:CARDINAL HOME CARE & SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-974-0652
Mailing Address - Street 1:10514 TOM FROST RD
Mailing Address - Street 2:
Mailing Address - City:CATAWISSA
Mailing Address - State:MO
Mailing Address - Zip Code:63015-1920
Mailing Address - Country:US
Mailing Address - Phone:314-974-0652
Mailing Address - Fax:
Practice Address - Street 1:10514 TOM FROST RD
Practice Address - Street 2:
Practice Address - City:CATAWISSA
Practice Address - State:MO
Practice Address - Zip Code:63015-1920
Practice Address - Country:US
Practice Address - Phone:314-974-0652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health