Healthcare Provider Details

I. General information

NPI: 1942182092
Provider Name (Legal Business Name): LOVELY DAY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FORT ZUMWALT SQ STE 129
O FALLON MO
63366-3066
US

IV. Provider business mailing address

300 FORT ZUMWALT SQ STE 129
O FALLON MO
63366-3066
US

V. Phone/Fax

Practice location:
  • Phone: 636-339-2793
  • Fax: 636-339-2790
Mailing address:
  • Phone: 636-339-2793
  • Fax: 636-339-2790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERIA M FOX
Title or Position: MANAGING MEMBER
Credential:
Phone: 314-258-4651