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COMPREHENSIVE INDEPENDENT GOALS INC ST. LOUIS CONSUMER DIRECTED SERVIC NPI 1376802678


NPI Information

NPI: 1376802678
Provider Name: COMPREHENSIVE INDEPENDENT GOALS INC ST. LOUIS CONSUMER DIRECTED SERVIC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
40 N KINGSHIGHWAY BLVD
SUITE - 6
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 361-7337
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COMPREHENSIVE INDEPENDENT GOALS INC ST. LOUIS CONSUMER DIRECTED SERVIC is an in home supportive care in Saint Louis, MO. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. COMPREHENSIVE INDEPENDENT GOALS INC ST. LOUIS CONSUMER DIRECTED SERVIC NPI is 1376802678. The provider is registered as an organization entity type.

The provider's business location address is:

40 N KINGSHIGHWAY BLVD
SUITE - 6
SAINT LOUIS, MO
ZIP 63108-378
Phone: (314) 361-7337
Fax: (314) 361-3361

The provider's authorized official is Ronnie Max Mcgowan .
The authorized official title is Pres./c. F. O. and has the following contact phone number (314) 361-7337.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 5/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11157384MEDICAIDLOUISIANA
21642649MEDICAIDLOUISIANA
31157392MEDICAIDLOUISIANA
41173835MEDICAIDLOUISIANA
51104137041MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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