Provider Demographics
NPI:1609114123
Name:ALWAYS LOVE AND CARE INC
Entity Type:Organization
Organization Name:ALWAYS LOVE AND CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHURA
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:314-524-0118
Mailing Address - Street 1:9191 W FLORISSANT AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-1424
Mailing Address - Country:US
Mailing Address - Phone:314-524-0118
Mailing Address - Fax:314-522-0929
Practice Address - Street 1:9191 W FLORISSANT AVE STE 201
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-1424
Practice Address - Country:US
Practice Address - Phone:314-524-0118
Practice Address - Fax:314-522-0929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOM286237607Medicaid
MOM266237601Medicaid
MO276237609Medicaid