Provider Demographics
NPI:1770342024
Name:MULTICARE HOME HEALTH LLC
Entity type:Organization
Organization Name:MULTICARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NABIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-814-4835
Mailing Address - Street 1:4100 WEBER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-7753
Mailing Address - Country:US
Mailing Address - Phone:314-814-4835
Mailing Address - Fax:314-221-6574
Practice Address - Street 1:4100 WEBER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-7753
Practice Address - Country:US
Practice Address - Phone:314-814-4835
Practice Address - Fax:314-221-6574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health