Provider Demographics
NPI:1104157437
Name:UNITED WE TRUST HOME CARE
Entity type:Organization
Organization Name:UNITED WE TRUST HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:CMBS
Authorized Official - Phone:618-874-8030
Mailing Address - Street 1:327 MISSOURI AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EAST SAINT LOUIS
Mailing Address - State:IL
Mailing Address - Zip Code:62201-3088
Mailing Address - Country:US
Mailing Address - Phone:618-874-8030
Mailing Address - Fax:618-874-8030
Practice Address - Street 1:327 MISSOURI AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:EAST SAINT LOUIS
Practice Address - State:IL
Practice Address - Zip Code:62201
Practice Address - Country:US
Practice Address - Phone:618-874-8030
Practice Address - Fax:618-874-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health