Provider Demographics
NPI:1750946836
Name:ELITE CAREGIVERS STL, LLC
Entity type:Organization
Organization Name:ELITE CAREGIVERS STL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/CDS COORDIN
Authorized Official - Prefix:
Authorized Official - First Name:DARROLYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-730-4750
Mailing Address - Street 1:1418 SIOUX TRCE
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7344
Mailing Address - Country:US
Mailing Address - Phone:877-730-4750
Mailing Address - Fax:314-628-0404
Practice Address - Street 1:1418 SIOUX TRCE
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-7344
Practice Address - Country:US
Practice Address - Phone:877-730-4750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-05
Last Update Date:2019-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health