Providentcare

LBN: At Ease Home Care, Inc.
Providentcare is an health care organization with primary practice located at 11500 Olive Blvd Suite 176, Saint Louis MO 63141-7143. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion. Agencies / Home Health is the primary health care specialty. At Ease Home Care, Inc. can be contacted via phone (314) 531-5310, or through Friedman, Dan via phone (314) 351-3510.

Contact Information

Primary practice address
11500 Olive Blvd Suite 176 Saint Louis MO 63141-7143
Phone: (314) 531-5310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Friedman, Dan
Phone: (314) 351-3510

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 00478801 Missouri
Agencies / Home Infusion 251F00000X 00478801 Missouri

Profile Details

NPI number 1255530465
LBN Legal business name At Ease Home Care, Inc.
DBA Doing business as Providentcare
Authorized official Friedman, Dan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 17th, 2007
Last updated Jul 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255530465 NPPES
Missouri MEDICAID 285298907
Missouri MEDICAID 265298901

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