Healthcare Provider Details

I. General information

NPI: 1043121429
Provider Name (Legal Business Name): SECOND2NONE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12405 OLD HALLS FERRY RD
BLACK JACK MO
63033-4201
US

IV. Provider business mailing address

12405 OLD HALLS FERRY RD
BLACK JACK MO
63033-4201
US

V. Phone/Fax

Practice location:
  • Phone: 314-397-7107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIMIRA SAUNDERS
Title or Position: OWNER
Credential: LPN
Phone: 314-397-7107