Provider Demographics
NPI:1962947929
Name:TAPIS ROUGE WELLNESS TEAM LLC
Entity type:Organization
Organization Name:TAPIS ROUGE WELLNESS TEAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-339-0178
Mailing Address - Street 1:4144 LINDELL BLVD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2927
Mailing Address - Country:US
Mailing Address - Phone:314-833-4556
Mailing Address - Fax:314-833-4555
Practice Address - Street 1:4144 LINDELL BLVD
Practice Address - Street 2:SUITE 135
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2927
Practice Address - Country:US
Practice Address - Phone:314-833-4556
Practice Address - Fax:314-833-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care