Provider Demographics
NPI:1548022452
Name:KIRKPATRICKS IN HOME CARE, LLC
Entity type:Organization
Organization Name:KIRKPATRICKS IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:367-518-6196
Mailing Address - Street 1:3910 S OLD HIGHWAY 94 STE 113B
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-2855
Mailing Address - Country:US
Mailing Address - Phone:314-310-5794
Mailing Address - Fax:636-317-6969
Practice Address - Street 1:3910 S OLD HIGHWAY 94 STE 113B
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-2855
Practice Address - Country:US
Practice Address - Phone:314-310-5794
Practice Address - Fax:636-317-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health