Provider Demographics
NPI:1356126288
Name:CAREGIVERS INN BUSINESS LLC
Entity type:Organization
Organization Name:CAREGIVERS INN BUSINESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASIR HUSAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-739-6473
Mailing Address - Street 1:1297 FEISE RD
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6710
Mailing Address - Country:US
Mailing Address - Phone:469-739-6473
Mailing Address - Fax:
Practice Address - Street 1:1297 FEISE RD
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-6710
Practice Address - Country:US
Practice Address - Phone:469-739-6473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility