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David Tucker

In Home Supportive Care in Saint Louis, MO. Individual provider (NPI-1).

NPI number1114491024
StatusActive
Last updated in NPPESJan 14, 2019

Details

NPI
1114491024
Entity type
Individual (NPI-1)
Name
David Tucker
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 14, 2019
Last updated
Jan 14, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

3214 Capehart Dr
Saint Louis, MO 63121-5321

Phone 314-376-7818

Mailing address

3214 Capehart Dr
Saint Louis, MO 63121-5321

Phone 314-376-7818

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other In Home Supportive Care Agency providers in Saint Louis, MO

All 540 In Home Supportive Care Agency providers in Saint Louis · All 34,755 providers in Saint Louis

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