Provider Demographics
NPI:1609397090
Name:TRUSTING & LOVING CARE IN-HOME SERVICES LLC
Entity Type:Organization
Organization Name:TRUSTING & LOVING CARE IN-HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLEASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-942-8032
Mailing Address - Street 1:1276 SAINT CYR RD STE 122
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137-1224
Mailing Address - Country:US
Mailing Address - Phone:314-942-8032
Mailing Address - Fax:314-395-9077
Practice Address - Street 1:1276 SAINT CYR RD STE 122
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63137-1224
Practice Address - Country:US
Practice Address - Phone:314-942-8032
Practice Address - Fax:314-395-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO253Z00000XMedicaid