Provider Demographics
NPI:1801927298
Name:PARAQUAD INC
Entity type:Organization
Organization Name:PARAQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-289-4218
Mailing Address - Street 1:5240 OAKLAND
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1720
Mailing Address - Country:US
Mailing Address - Phone:314-289-4200
Mailing Address - Fax:314-289-4346
Practice Address - Street 1:5240 OAKLAND
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1720
Practice Address - Country:US
Practice Address - Phone:314-289-4200
Practice Address - Fax:314-289-4346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
MON00010469332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO626328009Medicaid
MO266212901Medicaid
MO626328009Medicaid
MO626328009Medicaid
MO5879970001Medicare NSC