Healthcare Provider Details

I. General information

NPI: 1336993476
Provider Name (Legal Business Name): TOUCH OF GRACE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9735 W MAIN ST STE C
BELLEVILLE IL
62223-1401
US

IV. Provider business mailing address

9735 W MAIN ST STE C
BELLEVILLE IL
62223-1401
US

V. Phone/Fax

Practice location:
  • Phone: 314-897-1130
  • Fax:
Mailing address:
  • Phone: 314-897-1130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TAMARA SCOTT
Title or Position: CEO
Credential:
Phone: 314-897-1130