Provider Demographics
NPI:1497316335
Name:SINELIS HOME CARE AND LIFE MANAGEMENT
Entity Type:Organization
Organization Name:SINELIS HOME CARE AND LIFE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:SHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-800-7213
Mailing Address - Street 1:6546 HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2157
Mailing Address - Country:US
Mailing Address - Phone:314-800-7213
Mailing Address - Fax:
Practice Address - Street 1:340 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2411
Practice Address - Country:US
Practice Address - Phone:618-823-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health