Provider Demographics
NPI:1154914752
Name:VISITING CARE GIVING SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:VISITING CARE GIVING SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NDEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:CEESAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-406-6136
Mailing Address - Street 1:10 WYNNBROOKE MANOR CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-8742
Mailing Address - Country:US
Mailing Address - Phone:314-406-6136
Mailing Address - Fax:
Practice Address - Street 1:1000 COUNTRY CLUB RD STE P
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3371
Practice Address - Country:US
Practice Address - Phone:636-493-9058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health