Provider Demographics
NPI:1487172227
Name:STAGES LLC
Entity type:Organization
Organization Name:STAGES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-498-6024
Mailing Address - Street 1:424 CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137-3702
Mailing Address - Country:US
Mailing Address - Phone:314-498-6024
Mailing Address - Fax:314-388-2058
Practice Address - Street 1:424 CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63137-3702
Practice Address - Country:US
Practice Address - Phone:314-498-6024
Practice Address - Fax:314-388-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care