Provider Demographics
NPI:1356718258
Name:FLEX CARE LLC
Entity type:Organization
Organization Name:FLEX CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:LASHAE
Authorized Official - Last Name:CHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-307-8936
Mailing Address - Street 1:4338 BLYTHEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4211
Mailing Address - Country:US
Mailing Address - Phone:314-307-8936
Mailing Address - Fax:
Practice Address - Street 1:1735 S NEW FLORISSANT RD
Practice Address - Street 2:STE. A
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8300
Practice Address - Country:US
Practice Address - Phone:314-307-8936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-26
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health