Provider Demographics
NPI:1528204328
Name:EFFINGER IN-HOME CARE, LLC
Entity Type:Organization
Organization Name:EFFINGER IN-HOME CARE, LLC
Other - Org Name:COMFORCARE SENIOR SERVICES NW ST. LOUIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:EFFINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:314-895-1800
Mailing Address - Street 1:5976 HOWDERSHELL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-4108
Mailing Address - Country:US
Mailing Address - Phone:314-895-1800
Mailing Address - Fax:314-895-1804
Practice Address - Street 1:5976 HOWDERSHELL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-4108
Practice Address - Country:US
Practice Address - Phone:314-895-1800
Practice Address - Fax:314-895-1804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health