# COSBY CARES HEALTHCARE SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750748216
- **Authorized official:** CATRECE COSBY LPN (HOME HEALTH COORDINATOR)
- **Authorized official phone:** (314) 718-1655

## Contact information

- **Practice address:** 1409 WASHINGTON AVE STE 210, SAINT LOUIS, MO 63103-1936
- **Practice address phone:** (314) 833-5818
- **Practice address fax:** (314) 833-5819
- **Mailing address:** 1409 WASHINGTON AVE, SUITE 210, SAINT LOUIS, MO 63103-1936
- **Mailing address phone:** (314) 833-5818
- **Mailing address fax:** (314) 833-5819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 06/08/2016