Provider Demographics
NPI:1982961132
Name:CARE OPTIONS ONE, LLC CONSUMER DIRECTED SERVICES
Entity Type:Organization
Organization Name:CARE OPTIONS ONE, LLC CONSUMER DIRECTED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH-MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-358-4737
Mailing Address - Street 1:1213 BARON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63138-2904
Mailing Address - Country:US
Mailing Address - Phone:314-358-4737
Mailing Address - Fax:314-652-2599
Practice Address - Street 1:1213 BARON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63138-2904
Practice Address - Country:US
Practice Address - Phone:314-358-4737
Practice Address - Fax:314-652-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care