Healthcare Provider Details

I. General information

NPI: 1275299372
Provider Name (Legal Business Name): REALITY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 CHEZ PAREE DR STE E
HAZELWOOD MO
63042-3599
US

IV. Provider business mailing address

3428 CHARLESTOWNE CROSSING DR
SAINT CHARLES MO
63301-4892
US

V. Phone/Fax

Practice location:
  • Phone: 314-304-2747
  • Fax:
Mailing address:
  • Phone: 314-304-2747
  • Fax: 726-262-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TEKISHA DARSHA HARRIS
Title or Position: OWNER/MANAGER
Credential:
Phone: 314-304-2747