MEDICARE: LESANTO'S HEALING HANDS LEARNING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251E00000X	Home Health Agency
4	253Z00000X	In Home Supportive Care Agency
5	251F00000X	Home Infusion Agency
6	251S00000X	Community/Behavioral Health Agency
7	251T00000X	PACE Provider Organization
8	253J00000X	Foster Care Agency
9	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
10	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
11	385HR2065X	Child Physical Disabilities Respite Care
12	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1548942386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LESANTO'S HEALING HANDS LEARNING CENTER

Provider Business Mailing Address
First Line	:	12406 LUSHER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63138-1456
Country	:	US
Telephone Number	:	314-585-9485
Fax Number	:	314-475-3774

Provider Business Practice Location Address
First Line	:	1720 REDMAN RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63138-1732
Country	:	US
Telephone Number	:	314-616-9500
Fax Number	:	314-475-3774

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NATAVIA L BOYD-WELLS
Credential	:
Telephone Number	:	314-585-9485

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	08/02/2023

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Directions to “LESANTO'S HEALING HANDS LEARNING CENTER ” Practice Location

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