Organization
TRI-COUNTY GROUP XV, INC.
Active
Other names
Elara Caring
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MONASTIERE (COMPLIANCE AND PRIVACY OFFICER)
(517) 768-4373
Entity
Organization
Contact information
Practice address
3165 MCKELVEY RD STE 203A, BRIDGETON, MO 63044-2550
(314) 837-8324
(314) 837-8677
Mailing address
14295 MIDWAY RD STE 400, ADDISON, TX 75001-3678
(903) 537-8656
(903) 537-8420
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M277930509
—
MO
Enumeration date
11/16/2020
Last updated
07/26/2023
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