Provider Demographics
NPI:1083816003
Name:CAREGIVERS IN HOME SERVICES INC.
Entity type:Organization
Organization Name:CAREGIVERS IN HOME SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:STOCK REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-997-1001
Mailing Address - Street 1:150 WELDON PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-3104
Mailing Address - Country:US
Mailing Address - Phone:314-997-1001
Mailing Address - Fax:314-997-1003
Practice Address - Street 1:150 WELDON PKWY STE 102
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-3104
Practice Address - Country:US
Practice Address - Phone:314-997-1001
Practice Address - Fax:314-997-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO855287306Medicaid