Provider Demographics
NPI:1154196954
Name:CASA D'LUXE PROPERTIES LLC
Entity type:Organization
Organization Name:CASA D'LUXE PROPERTIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-249-6083
Mailing Address - Street 1:1360 S 5TH ST OFC 336E
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2486
Mailing Address - Country:US
Mailing Address - Phone:636-573-2100
Mailing Address - Fax:
Practice Address - Street 1:1360 S 5TH ST OFC 336E
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2486
Practice Address - Country:US
Practice Address - Phone:636-573-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASA DE LA SALUD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-21
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health