Provider Demographics
NPI:1295728616
Name:PATIENT CARE PROFESSIONALS INC
Entity type:Organization
Organization Name:PATIENT CARE PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MILLIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-227-2722
Mailing Address - Street 1:301 SOVEREIGN CT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4441
Mailing Address - Country:US
Mailing Address - Phone:636-227-0722
Mailing Address - Fax:636-227-0730
Practice Address - Street 1:301 SOVEREIGN CT
Practice Address - Street 2:SUITE 102
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-4441
Practice Address - Country:US
Practice Address - Phone:636-227-0722
Practice Address - Fax:636-227-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO267594251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO586217309Medicaid