Provider Demographics
NPI:1518650969
Name:SAINT LOUIS ANGELIC CAREGIVERS LLC
Entity type:Organization
Organization Name:SAINT LOUIS ANGELIC CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDITA
Authorized Official - Middle Name:SOTIR
Authorized Official - Last Name:POLLO
Authorized Official - Suffix:
Authorized Official - Credentials:CAREGIVER
Authorized Official - Phone:314-398-8378
Mailing Address - Street 1:735 AVENUE H
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-1434
Mailing Address - Country:US
Mailing Address - Phone:314-601-4345
Mailing Address - Fax:314-544-4413
Practice Address - Street 1:735 AVENUE H
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-1434
Practice Address - Country:US
Practice Address - Phone:314-601-4345
Practice Address - Fax:314-544-4413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care