Provider Demographics
NPI:1730481102
Name:BECAUSE WE CARE LLC
Entity Type:Organization
Organization Name:BECAUSE WE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE - OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PENELOPE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:573-649-9411
Mailing Address - Street 1:202 E. CHESTNUT ST.
Mailing Address - Street 2:
Mailing Address - City:EAST PRAIRIE
Mailing Address - State:MO
Mailing Address - Zip Code:63845-1502
Mailing Address - Country:US
Mailing Address - Phone:573-649-9411
Mailing Address - Fax:573-649-9442
Practice Address - Street 1:202 E. CHESTNUT ST.
Practice Address - Street 2:
Practice Address - City:EAST PRAIRIE
Practice Address - State:MO
Practice Address - Zip Code:63845-1502
Practice Address - Country:US
Practice Address - Phone:573-649-9411
Practice Address - Fax:573-649-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000164791310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1942322730Medicaid