Caretenders Visiting Services of St. Louis, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARETENDERS VISITING SERVICES OF ST. LOUIS, LLC

Practice address

17013 New College Ave Ste 101
Wildwood, MO 63040-1104

Phone

(314) 991-2377

Fax

(314) 991-1055

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1871662023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17013 NEW COLLEGE AVE STE 101",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401104",
            "telephone_number": "314-991-2377",
            "fax_number": "314-991-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS VISITING SERVICES OF ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58191702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wildwood, MO
• Providers in Wildwood, 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 Jan 14, 2022; 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.