Provider Demographics
NPI:1700487386
Name:CWC IHS, LLC
Entity Type:Organization
Organization Name:CWC IHS, LLC
Other - Org Name:CARING WITH COMFORT HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRAMESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-285-9654
Mailing Address - Street 1:2347 VORHOF DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-5727
Mailing Address - Country:US
Mailing Address - Phone:314-285-9654
Mailing Address - Fax:
Practice Address - Street 1:111 CHURCH ST STE 103
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-2430
Practice Address - Country:US
Practice Address - Phone:131-428-5965
Practice Address - Fax:314-754-9241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO280107979Medicaid
MO260107978Medicaid