Organization Active NPI

Care 4 Life Medical Resources, LLC

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1346342672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0008413MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Care 4 Life Medical Resources LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.