1740533322 NPI number — CARI-CARE SUPPORT SERVICES, LLC

Table of content: DR. SUSAN MARIE STEINBRUECK PH.D. (NPI 1851515233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740533322 NPI number — CARI-CARE SUPPORT SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARI-CARE SUPPORT SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740533322
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 WILCREST DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76010-8666
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-283-3131
Provider Business Mailing Address Fax Number:
314-741-9853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 JAMESTOWN FARM DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLORISSANT
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63034-1401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-283-3131
Provider Business Practice Location Address Fax Number:
314-741-9853
Provider Enumeration Date:
10/19/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WHITEHEAD
Authorized Official First Name:
ROSEMARY
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
314-283-3131

Provider Taxonomy Codes

  • Taxonomy code: 311Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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