Care at Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

486 Issued in MO

Legal business name

CARE AT HOME, LLC

Doing business as

ComForcare Senior Services - St Louis

Practice address

11780 Manchester Rd
Suite 102
Des Peres, MO 63131-4600

Phone

(314) 965-9600

Fax

(314) 965-9605

NPI assigned

Apr 2, 2007

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy Keith Jarvis

Title

President/Owner

Phone

(314) 965-9600

Specialties & licenses 1

Addresses

Other names 1

• ComForcare Senior Services - St Louis Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1003937608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 MANCHESTER RD",
            "address_2": "SUITE 102",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314600",
            "telephone_number": "314-965-9600",
            "fax_number": "314-965-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 MANCHESTER RD",
            "address_2": "SUITE 102",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314600",
            "telephone_number": "314-965-9600",
            "fax_number": "314-965-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "314-965-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services - St Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David A Breitenfeld, CRNA
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• Home Health Agency in Des Peres, MO
• Providers in Des Peres, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.