Provider Demographics
NPI:1891512620
Name:CENTERED HEALTH CDS
Entity type:Organization
Organization Name:CENTERED HEALTH CDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-739-2100
Mailing Address - Street 1:11430 SAINT CHARLES ROCK RD STE 1W
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2701
Mailing Address - Country:US
Mailing Address - Phone:314-739-2100
Mailing Address - Fax:
Practice Address - Street 1:11430 SAINT CHARLES ROCK RD STE 1W
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2701
Practice Address - Country:US
Practice Address - Phone:314-739-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care