Provider Demographics
NPI:1720763097
Name:ON THE CORNER HOME CARE, INC.
Entity Type:Organization
Organization Name:ON THE CORNER HOME CARE, INC.
Other - Org Name:ASSISTANCE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SERFAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-795-6773
Mailing Address - Street 1:2234 BLUESTONE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-5978
Mailing Address - Country:US
Mailing Address - Phone:314-795-6773
Mailing Address - Fax:
Practice Address - Street 1:2234 BLUESTONE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-5978
Practice Address - Country:US
Practice Address - Phone:314-795-6773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care