Provider Demographics
NPI:1366140154
Name:BAECARE LLC
Entity type:Organization
Organization Name:BAECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:314-518-1410
Mailing Address - Street 1:11375 MOSLEY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7563
Mailing Address - Country:US
Mailing Address - Phone:314-324-9093
Mailing Address - Fax:636-730-1155
Practice Address - Street 1:3821 MCCLAY RD STE B
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-7387
Practice Address - Country:US
Practice Address - Phone:314-324-9093
Practice Address - Fax:636-730-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy