Provider Demographics
NPI:1295106292
Name:CARING COMMUNITY SERVICES
Entity type:Organization
Organization Name:CARING COMMUNITY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-385-5795
Mailing Address - Street 1:12462 SAINT CHARLES ROCK RD
Mailing Address - Street 2:301
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2506
Mailing Address - Country:US
Mailing Address - Phone:314-385-5795
Mailing Address - Fax:314-385-5795
Practice Address - Street 1:12462 SAINT CHARLES ROCK RD
Practice Address - Street 2:301
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2506
Practice Address - Country:US
Practice Address - Phone:314-385-5795
Practice Address - Fax:314-385-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO22353356Medicaid