Provider Demographics
NPI:1376844829
Name:WORLDWIDE ENTERPRISE, LLC
Entity Type:Organization
Organization Name:WORLDWIDE ENTERPRISE, LLC
Other - Org Name:WORLDWIDE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS ED
Authorized Official - Phone:314-769-9119
Mailing Address - Street 1:11252 MIDLAND BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-1119
Mailing Address - Country:US
Mailing Address - Phone:314-769-9119
Mailing Address - Fax:314-414-4600
Practice Address - Street 1:11252 MIDLAND BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63114-1119
Practice Address - Country:US
Practice Address - Phone:314-769-9119
Practice Address - Fax:314-414-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-14
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies