Provider Demographics
NPI:1245521327
Name:CARE OPTIONS ONE, LC
Entity type:Organization
Organization Name:CARE OPTIONS ONE, LC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH-MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-652-2552
Mailing Address - Street 1:2819 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-1002
Mailing Address - Country:US
Mailing Address - Phone:314-652-2552
Mailing Address - Fax:314-652-2599
Practice Address - Street 1:3624 N SPRING AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63107-2220
Practice Address - Country:US
Practice Address - Phone:314-652-2552
Practice Address - Fax:314-652-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO931261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care