Provider Demographics
NPI:1194698845
Name:RES EXPRESS SERVICES LLC
Entity type:Organization
Organization Name:RES EXPRESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRTLE
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:314-602-3798
Mailing Address - Street 1:5298 TRAILOAKS DR
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4638
Mailing Address - Country:US
Mailing Address - Phone:314-580-7629
Mailing Address - Fax:
Practice Address - Street 1:5298 TRAILOAKS DR
Practice Address - Street 2:
Practice Address - City:BLACK JACK
Practice Address - State:MO
Practice Address - Zip Code:63033-4638
Practice Address - Country:US
Practice Address - Phone:314-580-7629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health