# LIFECARE MISSOURI INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BrightStar of Kirkwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992935712
- **Authorized official:** MR. CHARLES E. SCARLETT (OWNER)
- **Authorized official phone:** (630) 697-8844

## Contact information

- **Practice address:** 2190 S. MASON ROAD, SUITE 204, ST. LOUIS, MO 63131
- **Practice address phone:** (314) 984-8650
- **Practice address fax:** (314) 909-1033
- **Mailing address:** 2190 S. MASON ROAD, SUITE 204, ST. LOUIS, MO 63131
- **Mailing address phone:** (314) 984-8650
- **Mailing address fax:** (314) 909-1033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 835-HH | MO | Yes |
| 251F00000X | Home Infusion Agency | 835-HH | MO | — |
| 251J00000X | Nursing Care Agency | 835-HH | MO | — |
| 253Z00000X | In Home Supportive Care Agency | 835-HH | MO | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 04/24/2012