Surecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SURECARE, LLC

Practice address

11977 Saint Charles Rock Rd Ste 121-124
Bridgeton, MO 63044-2642

Phone

(314) 766-2844

Fax

(314) 222-2039

NPI assigned

Oct 16, 2024

Last updated

Oct 16, 2024By 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

Deborah E Mabrie

Title

Program Director

Phone

(314) 766-2844

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1396565123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11977 SAINT CHARLES ROCK RD STE 121-124",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442642",
            "telephone_number": "314-766-2844",
            "fax_number": "314-222-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11977 SAINT CHARLES ROCK RD STE 121-124",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442642",
            "telephone_number": "314-766-2844",
            "fax_number": "314-222-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "MABRIE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "314-766-2844"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.