Provider Demographics
NPI:1477925758
Name:CARINGLEGENDS LLC
Entity Type:Organization
Organization Name:CARINGLEGENDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:314-600-7077
Mailing Address - Street 1:4244 ELLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-2506
Mailing Address - Country:US
Mailing Address - Phone:314-666-9550
Mailing Address - Fax:314-832-9210
Practice Address - Street 1:4244 ELLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-2506
Practice Address - Country:US
Practice Address - Phone:314-666-9550
Practice Address - Fax:314-832-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMEDICAIDMedicaid