Healthcare Provider Details

I. General information

NPI: 1740828748
Provider Name (Legal Business Name): ART OF KINDNESS IN HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 12/20/2019
Certification Date: 12/20/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 STONEY TERRACE DR
BALLWIN MO
63021-7783
US

IV. Provider business mailing address

1703 STONEY TERRACE DR
BALLWIN MO
63021-7783
US

V. Phone/Fax

Practice location:
  • Phone: 314-761-6132
  • Fax:
Mailing address:
  • Phone: 314-761-6132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. PRIENTISS THOMAS
Title or Position: DIRECTOR
Credential:
Phone: 314-761-6132