Provider Demographics
NPI:1992507396
Name:UPLIFT HOMECARE LLC
Entity type:Organization
Organization Name:UPLIFT HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NEEMA
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MUSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-300-0095
Mailing Address - Street 1:3149 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:EAST SAINT LOUIS
Mailing Address - State:IL
Mailing Address - Zip Code:62205-1447
Mailing Address - Country:US
Mailing Address - Phone:319-300-0095
Mailing Address - Fax:319-300-0095
Practice Address - Street 1:3149 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:EAST SAINT LOUIS
Practice Address - State:IL
Practice Address - Zip Code:62205-1447
Practice Address - Country:US
Practice Address - Phone:319-300-0095
Practice Address - Fax:319-300-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care