Active NPI
Care 4 Life Medical Resources, LLC
- Home Health Agency
- Florissant, MO
National Provider Identifier
1346342672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CARE 4 LIFE MEDICAL RESOURCES, LLC
- Practice address
- 4013 7 Hills Dr
Florissant, MO 63033-6737 - Phone
- (314) 972-9400
- Fax
- (314) 972-9405
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Antanaia Miller
- Title
- Owner/Director
- Phone
- (314) 355-6207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MO | Primary |
Addresses
Primary practice location
4013 7 Hills Dr
Florissant, MO 63033-6737
Mailing address
4013 7 Hills Dr
Florissant, MO 63033-6737
Phone (314) 972-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008413 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Care 4 Life Medical Resources LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Florissant, MO
- NPI 1194045856
Locations
4013 7 Hills Dr
Florissant, MO 63033
Phone (314) 972-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346342672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 7 HILLS DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336737",
"telephone_number": "314-972-9400",
"fax_number": "314-972-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 7 HILLS DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336737",
"telephone_number": "314-972-9400",
"fax_number": "314-972-9405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE 4 LIFE MEDICAL RESOURCES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANTANAIA",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "314-355-6207",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008413",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.