Provider Demographics
NPI:1922789775
Name:EXCLUSIVE CARE IN HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:EXCLUSIVE CARE IN HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:TRINA
Authorized Official - Last Name:FOXWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-874-3004
Mailing Address - Street 1:5916 NATURAL BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63120-1436
Mailing Address - Country:US
Mailing Address - Phone:314-704-6192
Mailing Address - Fax:314-312-6420
Practice Address - Street 1:5916 NATURAL BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63120-1436
Practice Address - Country:US
Practice Address - Phone:314-704-6192
Practice Address - Fax:314-312-6420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty