Provider Demographics
NPI:1669169686
Name:ESSENTIAL CARETAKERS LLC
Entity type:Organization
Organization Name:ESSENTIAL CARETAKERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-541-0448
Mailing Address - Street 1:3801 MCKELVEY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-4073
Mailing Address - Country:US
Mailing Address - Phone:314-541-0448
Mailing Address - Fax:
Practice Address - Street 1:78 TUSCANY TRACE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-4238
Practice Address - Country:US
Practice Address - Phone:314-541-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health