Healthcare Provider Details

I. General information

NPI: 1770953705
Provider Name (Legal Business Name): CARING HANDS IN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 11/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16287 US HIGHWAY 61
MATTHEWS MO
63867-9120
US

IV. Provider business mailing address

16287 US HIGHWAY 61
MATTHEWS MO
63867-9120
US

V. Phone/Fax

Practice location:
  • Phone: 573-472-8175
  • Fax: 573-481-2074
Mailing address:
  • Phone: 573-472-8175
  • Fax: 573-481-2074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TINA RENA HARTLEIN
Title or Position: MEMBER
Credential: RN
Phone: 573-472-8175