Provider Demographics
NPI: | 1528753589 |
---|---|
Name: | PEAR TREE HOME CARE |
Entity type: | Organization |
Organization Name: | PEAR TREE HOME CARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF CLIENT SERVICES |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JEFF |
Authorized Official - Middle Name: | RAYMOND |
Authorized Official - Last Name: | HOLTMEIER-BRASIER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BSBA |
Authorized Official - Phone: | 314-803-7723 |
Mailing Address - Street 1: | 2821 N BALLAS RD STE C10 |
Mailing Address - Street 2: | |
Mailing Address - City: | SAINT LOUIS |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 63131-2313 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 314-803-7723 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2821 N BALLAS RD STE C10 |
Practice Address - Street 2: | |
Practice Address - City: | SAINT LOUIS |
Practice Address - State: | MO |
Practice Address - Zip Code: | 63131-2313 |
Practice Address - Country: | US |
Practice Address - Phone: | 314-803-7723 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-04-06 |
Last Update Date: | 2023-04-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care | |
No | 251E00000X | Agencies | Home Health | |
No | 251G00000X | Agencies | Hospice Care, Community Based |