Provider Demographics
NPI:1740533322
Name:CARI-CARE SUPPORT SERVICES, LLC
Entity type:Organization
Organization Name:CARI-CARE SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-283-3131
Mailing Address - Street 1:2000 WILCREST DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-8666
Mailing Address - Country:US
Mailing Address - Phone:314-283-3131
Mailing Address - Fax:314-741-9853
Practice Address - Street 1:2 JAMESTOWN FARM DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-1401
Practice Address - Country:US
Practice Address - Phone:314-283-3131
Practice Address - Fax:314-741-9853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility